Chatham Health District

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

CHATHAM HEALTH DISTRICT

Practice address

240 Middletown Ave
East Hampton, CT 06424-2120

Phone

(860) 365-0884

Fax

(860) 365-0885

NPI assigned

Jul 10, 2013

Last updated

Mar 26, 2022By 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. Russell Melmed, MPH

Title

Director of Health

Phone

(860) 365-0884

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648252800000",
    "number": "1154762862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MIDDLETOWN AVE",
            "city": "EAST HAMPTON",
            "state": "CT",
            "postal_code": "064242120",
            "telephone_number": "860-365-0884",
            "fax_number": "860-365-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MIDDLETOWN AVE",
            "city": "EAST HAMPTON",
            "state": "CT",
            "postal_code": "064242120",
            "telephone_number": "860-365-0884",
            "fax_number": "860-365-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATHAM HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2022-03-26",
        "certification_date": "2022-03-26",
        "status": "A",
        "authorized_official_last_name": "MELMED",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH",
        "authorized_official_telephone_number": "860-365-0884",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Domenic William Casablanca, M.D.
• Normajean Cefarelli, LMFT
• Kevin Patrick Charron, PHARMD
• Chataham Dental Care LLC
• Chatham Dental Center LLC
• Maureen Erin Coleman
• Compass Rose Physical Therapy PLLC
• Connecticut CVS Pharmacy LLC (CVS Pharmacy # 04149)
• Patrick Sean Connelly, D.C.
• Stewart S Danziger, DMD

• Public Health or Welfare Agency in East Hampton, CT
• Providers in East Hampton, CT by specialty
• Public Health or Welfare Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2022; 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.