Southern Connecticut Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SOUTHERN CONNECTICUT INTERNAL MEDICINE

Practice address

150 Sargent Dr
New Haven, CT 06511-6110

Phone

(203) 781-4444

Fax

(203) 789-8341

NPI assigned

Oct 26, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Sam Geller, M.D.

Title

Financial Officer

Phone

(203) 781-4444

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1174513543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SARGENT DR",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116110",
            "telephone_number": "203-781-4444",
            "fax_number": "203-789-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SARGENT DR",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116110",
            "telephone_number": "203-781-4444",
            "fax_number": "203-789-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CONNECTICUT INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "GELLER",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "FINANCIAL OFFICER",
        "authorized_official_telephone_number": "203-781-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004197986",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elaine Soto, MSW
• Alexander Daniel Sotolongo, MD
• Claudia Soulds, LPN
• Rachel Christina Southard
• Southern Connecticut Geriatric & Preventive Medicine LLC
• Southern Connecticut Internal Medicine
• Southern Home Care Services, Inc.
• Southern New England Ear, Nose, Throat & Facial Plastic Surg GRP. LCP
• Southern New England Ear, Nose, Throat and Facial Plastic Surgery Grou
• Southern New England Home Care

• Internal Medicine Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.