Organization Active NPI

The Griffin Hospital

  • Radiation Oncology Clinic/Center
  • Derby, CT
National Provider Identifier
1154568384
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
License
0034 Issued in CT
Legal business name
THE GRIFFIN HOSPITAL
Practice address
350 Seymour Ave
Derby, CT 06418-1338
Phone
(203) 732-1260
Fax
(203) 732-1194
NPI assigned
Jan 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Authorized official

Name
Mr. Patrick Charmel
Title
Ceo
Phone
(203) 732-7513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Clinic/Center 261QX0203X 0034 CT Primary

Addresses

Primary practice location

350 Seymour Ave
Derby, CT 06418-1338

Mailing address

350 Seymour Ave
Derby, CT 06418-1338
Phone (203) 732-1260

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2300366Griffin Hospital Cardiac Rehabilitation350 Seymour Ave #2012, Derby, CT 06418Certificate of waiverMar 7, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1154568384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SEYMOUR AVE",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181338",
            "telephone_number": "203-732-1260",
            "fax_number": "203-732-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SEYMOUR AVE",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181338",
            "telephone_number": "203-732-1260",
            "fax_number": "203-732-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GRIFFIN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "CHARMEL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-732-7513",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "CT",
            "license": "0034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.