The New Coleman Park

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2299 Issued in CT

Legal business name

THE NEW COLEMAN PARK

Practice address

62 Coleman St
Bridgeport, CT 06604-3419

Phone

(203) 367-8444

Fax

(203) 335-4172

NPI assigned

Mar 29, 2007

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Massaro Sr.

Title

Corporate Administrator

Phone

(203) 367-8444

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1104946813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BOND ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102205",
            "telephone_number": "203-384-6400",
            "fax_number": "203-384-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 COLEMAN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066043419",
            "telephone_number": "203-367-8444",
            "fax_number": "203-335-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEW COLEMAN PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MASSARO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CORPORATE ADMINISTRATOR",
        "authorized_official_telephone_number": "203-367-8444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Skilled Nursing Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.