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
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

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

Specialties & licenses 3

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

Primary practice location

158 Main St
Ansonia, CT 06401-1836

Mailing address

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

National Provider Directory

National Provider Directory

Locations

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

NPI Registry JSON

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

{
    "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.