Yale Home Care Physicians Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

YALE HOME CARE PHYSICIANS INC

Doing business as

828 - Urgent Care

Practice address

1783 Meriden Waterbury Tpke
Southington, CT 06479-0268

Phone

(203) 404-1010

Fax

(860) 426-2898

NPI assigned

Feb 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Nirmala Panwar, M.D.NPI 1720215817

Title

Owner

Phone

(203) 404-1010

Specialties & licenses 2

Addresses

Other names 1

• 828 - Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nirmala Panwar, M.D.

  • General Practice Physician
  • Southington, CT
  • NPI 1720215817
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1093106866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PEMBROKE RD",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065142626",
            "telephone_number": "203-404-1010",
            "fax_number": "860-426-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1783 MERIDEN WATERBURY TPKE",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064790268",
            "telephone_number": "203-404-1010",
            "fax_number": "860-426-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YALE HOME CARE PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "PANWAR",
        "authorized_official_first_name": "NIRMALA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-404-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "828 - Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "828 - Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan J Wojenski, RDH
• Jessica Vetrano Wolf, LCSW
• Kathleen Wozniak, RPH
• Yiqing Xiang, MT-BC
• Rajwardhan Yadav, M.D., PH.D.
• Seungjae Yang, DDS
• Albert Young, LADC
• Iwona Zalewska
• Beata Zaloba, PTA
• Theodore Walter Zdeblick, DDS

• General Practice Physician in Southington, CT
• Providers in Southington, CT by specialty
• General Practice Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.