Organization Active NPI

Hospital of Saint Raphael

  • Adult Day Care Clinic/Center
  • New Haven, CT
National Provider Identifier
1033391594
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
HOSPITAL OF SAINT RAPHAEL
Practice address
196 Park St Apt 7
New Haven, CT 06511-4761
Phone
(203) 278-2915
NPI assigned
Nov 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Walid Labib Shaib, M.D.
Title
Pgyi
Phone
(203) 278-2915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X CT Primary

Addresses

Primary practice location

196 Park St Apt 7
New Haven, CT 06511-4761

Mailing address

196 Park St Apt 7
New Haven, CT 06511-4761
Phone (203) 278-2915

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1033391594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 PARK ST APT 7",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114761",
            "telephone_number": "203-278-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 PARK ST APT 7",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114761",
            "telephone_number": "203-278-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL OF SAINT RAPHAEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "SHAIB",
        "authorized_official_first_name": "WALID",
        "authorized_official_middle_name": "LABIB",
        "authorized_official_title_or_position": "PGYI",
        "authorized_official_telephone_number": "203-278-2915",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "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 Nov 27, 2007; 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.