Individual provider Active NPI

Aaron Charles Lobo

  • Student in an Organized Health Care Education/Training Program
  • Bridgeport, CT
National Provider Identifier
1053056531
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Gme Programs, Yale New Haven Health Bridgeport Hospital
267 Grant Street
Bridgeport, CT 06610
Phone
(203) 384-3883
Fax
(203) 384-4680
NPI assigned
Apr 29, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CT Primary

Addresses

Primary practice location

Gme Programs, Yale New Haven Health Bridgeport Hospital
267 Grant Street
Bridgeport, CT 06610

Mailing address

Gme Programs, Yale New Haven Health Bridgeport Hospital
267 Grant Street
Bridgeport, CT 06610
Phone (203) 384-3883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221111001752 CT Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 7012384522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1053056531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GME PROGRAMS, YALE NEW HAVEN HEALTH BRIDGEPORT HOSPITAL",
            "address_2": "267 GRANT STREET",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06610",
            "telephone_number": "203-384-3883",
            "fax_number": "203-384-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GME PROGRAMS, YALE NEW HAVEN HEALTH BRIDGEPORT HOSPITAL",
            "address_2": "267 GRANT STREET",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06610",
            "telephone_number": "203-384-3883",
            "fax_number": "203-384-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBO",
        "first_name": "AARON",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.