Organization Active NPI

Clinical Center for Neoplastic Diseases, P.C.

  • Endocrinology, Diabetes & Metabolism Physician
  • Ansonia, CT
National Provider Identifier
1164545810
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
CLINICAL CENTER FOR NEOPLASTIC DISEASES, P.C.
Practice address
158 Main St
Ansonia, CT 06401-1836
Phone
(203) 735-8783
Fax
(203) 732-3692
NPI assigned
Apr 9, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Sandra Watson
Title
Office Mnager
Phone
(203) 735-8783

National Provider Directory

National Provider Directory

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0000X
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary
Medical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RX0202X

Addresses

NPPES NPI Registry

Primary practice location

158 Main St
Ansonia, CT 06401-1836

Mailing address

158 Main St
Ansonia, CT 06401-1836
Phone (203) 735-8783

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2025.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1164545810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 MAIN ST",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011836",
            "telephone_number": "203-735-8783",
            "fax_number": "203-732-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 MAIN ST",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011836",
            "telephone_number": "203-735-8783",
            "fax_number": "203-732-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL CENTER FOR NEOPLASTIC DISEASES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OFFICE MNAGER",
        "authorized_official_telephone_number": "203-735-8783",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ansonia, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.