NPIMap

Organization Active NPI

Putnam Cardiology Associates, P.C.

  • Cardiovascular Disease Physician
  • Putnam, CT
National Provider Identifier
1033142492
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
017690 Issued in CT
Legal business name
PUTNAM CARDIOLOGY ASSOCIATES, P.C.
Practice address
158 Pomfret St
Putnam, CT 06260-1800
Phone
(860) 928-3958
Fax
(860) 928-2052
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Alexander - Mahendran, M.D.,F.A.C.C.
Title
Physician/President
Phone
(860) 928-3958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 017690 CT Primary

Addresses

Primary practice location

158 Pomfret St
Putnam, CT 06260-1800

Mailing address

158 Pomfret St
Putnam, CT 06260-1800
Phone (860) 928-3958

Other identifiers 1

IdentifierTypeStateIssuer
1176908MedicaidCT

National Provider Directory

National Provider Directory

Locations

158 Pomfret St
Putnam, CT 06260
Phone (860) 928-3958

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033142492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601800",
            "telephone_number": "860-928-3958",
            "fax_number": "860-928-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601800",
            "telephone_number": "860-928-3958",
            "fax_number": "860-928-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM CARDIOLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAHENDRAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "-",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "860-928-3958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,F.A.C.C."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "017690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1176908",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Putnam, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.