NPIMap

Individual provider Active NPI

Nusrat Fatima Pathan, M.D

  • Anatomic Pathology & Clinical Pathology Physician
  • Aberdeen, NJ
National Provider Identifier
1083947741
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
47227 Issued in CT
Practice address
6308 Central Ave
Aberdeen, NJ 07747-5506
Phone
(203) 512-6259
NPI assigned
Sep 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 47227 CT Primary

Addresses

Primary practice location

6308 Central Ave
Aberdeen, NJ 07747-5506

Mailing address

27 Ashley CT
Danbury, CT 06810-7270
Phone (203) 512-6259

Other identifiers 1

IdentifierTypeStateIssuer
0214884MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130604000203 CT Practitioner - Pathology 7911046966 Reassigns benefits to 2 organizations
I20240402000525 NY Practitioner - Pathology 7911046966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Yale University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians
Nuvance Health Medical Practice PCGroup PAC ID 1658468442, 578 clinicians

Practice addresses (Care Compare)

20 Germantown Rd
Danbury, CT 06810-5023
Phone (203) 739-4820

24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-7118

34 Maple St
Norwalk, CT 06850-3815
Phone (203) 762-5588

50 Hospital Hill Rd
Sharon, CT 06069-2096
Phone (860) 364-4000

6511 Spring Brook Ave
Rhinebeck, NY 12572-3709
Phone (845) 876-3001

Hospital & facility affiliations

  • Danbury Hospital Hospital, Danbury, CT, CCN 070033
  • Norwalk Hospital Hospital, Norwalk, CT, CCN 070034
  • Sharon Hospital Hospital, Sharon, CT, CCN 070004
  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023
  • Stamford Hospital Hospital, Stamford, CT, CCN 070006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47227CTMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice PC CurrentSince Feb 21, 2024 Accepting new patients
Nuvance Health Medical Practice CT, Inc. Anatomic Pathology & Clinical Pathology CurrentSince Feb 19, 2013 Accepting new patients
Pathology Associates of Central Jersey Inc. Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

50 Hospital Hill Rd
Sharon, CT 06069
Phone (860) 364-4000

670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1083947741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 ASHLEY CT",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068107270",
            "telephone_number": "203-512-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 CENTRAL AVE",
            "city": "ABERDEEN",
            "state": "NJ",
            "postal_code": "077475506",
            "telephone_number": "203-512-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAN",
        "first_name": "NUSRAT",
        "middle_name": "FATIMA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CT",
            "license": "47227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0214884",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, NJ

Sources for this page

Verify at the official NPI Registry.