Active NPI
Susan Hall Forster, MD
- Ophthalmology Physician
- New Haven, CT
National Provider Identifier
1023054756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 022880
- Practice address
- 55 Lock Street
New Haven, CT 06520-8237 - Phone
- (203) 432-0076
- Fax
- (203) 432-7289
- NPI assigned
- Jun 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 022880 | CT | Primary |
| Ophthalmology Physician | 207W00000X | 02280 | CT |
Addresses
Primary practice location
55 Lock Street
New Haven, CT 06520-8237
Mailing address
PO Box 208237
55 Lock Street
New Haven, CT 06520-8237
Phone (203) 432-0076
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02280 | CT | MD | Ophthalmology Physician |
| 022880 | CT | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340150400000",
"number": "1023054756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 208237",
"address_2": "55 LOCK STREET",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065208237",
"telephone_number": "203-432-0076",
"fax_number": "203-432-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 LOCK STREET",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065208237",
"telephone_number": "203-432-0076",
"fax_number": "203-432-7289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORSTER",
"first_name": "SUSAN",
"middle_name": "HALL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2012-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CT",
"license": "022880",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CT",
"license": "02280",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.