Naugatuck Valley Womens Health Specialists PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

054319 Issued in CT

Legal business name

NAUGATUCK VALLEY WOMENS HEALTH SPECIALISTS PC

Practice address

686 Straits Turnpike
2A
Middlebury, CT 06762

Phone

(203) 575-1811

Fax

(203) 575-1995

NPI assigned

Nov 10, 2015

Organization subpart

No

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

Authorized official

Name

Nadine Pendarvis, MD

Title

Medical Assistnat

Phone

(203) 575-1811

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Naugatuck Valley Women'S Health Specialists PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Naugatuck Valley Women'S Health Specialists, P.C.

  • Advanced Practice Midwife
  • Middlebury, CT
  • NPI 1659678183
  NPD tax ID

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1164895314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 STRAITS TURNPIKE",
            "address_2": "2A",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "06762",
            "telephone_number": "203-575-1811",
            "fax_number": "203-575-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 STRAITS TURNPIKE",
            "address_2": "2A",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "06762",
            "telephone_number": "203-575-1811",
            "fax_number": "203-575-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAUGATUCK VALLEY WOMENS HEALTH SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "PENDARVIS",
        "authorized_official_first_name": "NADINE",
        "authorized_official_title_or_position": "MEDICAL ASSISTNAT",
        "authorized_official_telephone_number": "203-575-1811",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "054319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004395514",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CO1191",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anushree Mundhe, M.S
• Jacqueline Marisol Murillo, DNP- APRN
• Donna Mychaskiw, PD,MS
• Naugatuck Valley Cardiovascular Associates
• Naugatuck Valley Women'S Health Specialists, P.C.
• Nephrology and Hypertension Assoc PC
• Laura Jean Nesta, LCSW
• Shobha Neupane
• Nevadomski Counseling LLC
• Jennifer Marie Nevadomski, LPC

• Obstetrics & Gynecology Physician in Middlebury, CT
• Providers in Middlebury, CT by specialty
• Obstetrics & Gynecology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.