Organization Active NPI

Leonard a . Fasano

  • Internal Medicine Physician
  • New Haven, CT
National Provider Identifier
1073672572
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
08230 Issued in CT
Legal business name
LEONARD A . FASANO
Practice address
980 Whalley Ave
New Haven, CT 06515-1733
Phone
(203) 387-2569
Fax
(203) 387-9245
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Authorized official

Name
Ms. Pam M Pullano
Title
Billing
Phone
(203) 387-2569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 08230 CT Primary

Addresses

Primary practice location

980 Whalley Ave
New Haven, CT 06515-1733

Mailing address

980 Whalley Ave
New Haven, CT 06515-1733
Phone (203) 387-2569

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1073672572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 WHALLEY AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151733",
            "telephone_number": "203-387-2569",
            "fax_number": "203-387-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 WHALLEY AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151733",
            "telephone_number": "203-387-2569",
            "fax_number": "203-387-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD A . FASANO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "PULLANO",
        "authorized_official_first_name": "PAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "203-387-2569",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "08230",
            "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 Aug 31, 2010; 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.