Active NPI
Leonard a . Fasano
- Internal Medicine Physician
- New Haven, CT
National Provider Identifier
1073672572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 08230
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryNPI 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.