Organization Active NPI

New Britain Obstetrical & Gynecological Group PC

  • Obstetrics & Gynecology Physician
  • New Britain, CT
National Provider Identifier
1083731137
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
NEW BRITAIN OBSTETRICAL & GYNECOLOGICAL GROUP PC
Practice address
40 Hart St
BLDG a, 2ND FLR
New Britain, CT 06052-1743
Phone
(860) 224-2447
Fax
(860) 826-5845
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Authorized official

Name
Nicholas L Lillo, M.D.
Title
President
Phone
(860) 224-2447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

40 Hart St
BLDG a, 2ND FLR
New Britain, CT 06052-1743

Mailing address

40 Hart St
BLDG a, 2ND FLR
New Britain, CT 06052-1743
Phone (860) 224-2447

Other identifiers 1

IdentifierTypeStateIssuer
004393922MedicaidCT

National Provider Directory

National Provider Directory

Locations

209 Main St
Ste B
Southington, CT 06489
Phone (860) 224-2447

33 Meriden Ave
Southington, CT 06489
Phone (860) 224-2447

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1083731137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 HART ST",
            "address_2": "BLDG A, 2ND FLR",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521743",
            "telephone_number": "860-224-2447",
            "fax_number": "860-826-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 HART ST",
            "address_2": "BLDG A, 2ND FLR",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521743",
            "telephone_number": "860-224-2447",
            "fax_number": "860-826-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BRITAIN OBSTETRICAL & GYNECOLOGICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "LILLO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-224-2447",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004393922",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.