NPIMap

Individual provider Active NPI

Lyuba Gitman, M.D.

  • Pediatric Otolaryngology Physician
  • Shelton, CT
National Provider Identifier
1164780342
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X
License
72677 Issued in CT
Practice address
4 Corporate Dr Ste 280
Shelton, CT 06484-6266
Phone
(203) 245-0496
NPI assigned
Apr 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 72677 CT
Pediatric Otolaryngology Physician 207YP0228X 72677 CT Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4 Corporate Dr Ste 280
Shelton, CT 06484-6266

Mailing address

230 Boston Post Rd
Madison, CT 06443-2225
Phone (203) 245-0496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
72677CTMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Physicians PC Otolaryngology PastSince Nov 9, 2025 Accepting new patients
Children'S Hospital Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Connecticut Pediatric Otolaryngology PastSince Nov 9, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lgitman639761@direct.ynhh.org
  • Direct secure messaging: lyuba.gitman.1@27673.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1164780342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BOSTON POST RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432225",
            "telephone_number": "203-245-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CORPORATE DR STE 280",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846266",
            "telephone_number": "203-245-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITMAN",
        "first_name": "LYUBA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CT",
            "license": "72677",
            "primary": false
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "CT",
            "license": "72677",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.