Dr. John Katsetos LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

032814 Issued in CT

Legal business name

DR. JOHN KATSETOS LLC

Practice address

353 Bridgeport Avenue
Milford, CT 06460-4601

Phone

(203) 877-1212

Fax

(203) 877-1211

NPI assigned

Feb 2, 2011

Last updated

Feb 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John C Katsetos, MDNPI 1831121979

Title

Physician

Phone

(203) 877-1212

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John C Katsetos, MD

  • Internal Medicine Physician
  • Milford, CT
  • NPI 1831121979
  Authorized official Same address or phone

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1043516446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 BRIDGEPORT AVENUE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604601",
            "telephone_number": "203-877-1212",
            "fax_number": "203-877-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 BRIDGEPORT AVENUE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604601",
            "telephone_number": "203-877-1212",
            "fax_number": "203-877-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOHN KATSETOS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "KATSETOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "203-877-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "032814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01328146",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Downey Sessa, LCSW
• Jennifer Downing, LMSW
• Alyssa Doyen, LCSW
• Jennifer Masso Doyle, LMFT
• Dr William C Deangelo PC (NeuroSpinal Center)
• Dr.Susan Westrup,LLC
• Alison Driscoll, LPC
• Hongling Du
• Jocelyn Cesilia Duarte-Canahui, BCBA, LBA,
• David Norman Dube, R.N., D.C., M.S.

• Internal Medicine Physician in Milford, CT
• Providers in Milford, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.