Organization Active NPI

Charles L. G. Halasz, MD

Doing business as Dermatology for the family

  • Family Nurse Practitioner
  • Norwalk, CT
National Provider Identifier
1003186651
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
004551 Issued in CT
Legal business name
CHARLES L. G. HALASZ, MD
Doing business as
Dermatology for the family
Practice address
149 East Ave
Suite 20
Norwalk, CT 06851-5711
Phone
(203) 853-1874
Fax
(203) 831-0007
NPI assigned
Jan 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Charles Ludvig Halasz, M.D.NPI 1538137450
Title
Physician/Owner
Phone
(203) 853-1874

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 004551 CT Primary

Addresses

Primary practice location

149 East Ave
Suite 20
Norwalk, CT 06851-5711

Mailing address

149 East Ave
Suite 20
Norwalk, CT 06851-5711
Phone (203) 853-1874

Other identifiers 1

IdentifierTypeStateIssuer
001214311MedicaidCT

Other names 1

  • Dermatology for the family Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D0101643Charles L Halasz MD149 East Ave Ste 20, Norwalk, CT 06851Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1003186651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 EAST AVE",
            "address_2": "SUITE 20",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515711",
            "telephone_number": "203-853-1874",
            "fax_number": "203-831-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 EAST AVE",
            "address_2": "SUITE 20",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515711",
            "telephone_number": "203-853-1874",
            "fax_number": "203-831-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES L. G. HALASZ, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "HALASZ",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "LUDVIG",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "203-853-1874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "004551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001214311",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology for the family",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.