Family Practice and Internal Medicine of Hamden

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FAMILY PRACTICE AND INTERNAL MEDICINE OF HAMDEN

Practice address

35 Scott St
Hamden, CT 06514-4028

Phone

(203) 288-6197

Fax

(203) 287-2842

NPI assigned

Feb 20, 2008

Organization subpart

No

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

Authorized official

Name

Michael Mankus, M.D.

Title

Physician/Owner

Phone

(203) 288-6197

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1174791420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SCOTT ST",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065144028",
            "telephone_number": "203-288-6197",
            "fax_number": "203-287-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 SCOTT ST",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065144028",
            "telephone_number": "203-288-6197",
            "fax_number": "203-287-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE AND INTERNAL MEDICINE OF HAMDEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "MANKUS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "203-288-6197",
        "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": "001304493",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Families Home Care,LLC
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• Family Chiropractic and Wellness, LLC
• Family First Counseling and Addiction Services LLC
• Family Psychiatric Services
• Family Services of Central Connecticut, Inc.
• Jeralyn R Fantarella, D.M.D.
• Jirina Ann Fargeorge, LMSW
• William Douglas Farmer, M.D.

• Internal Medicine Physician in Hamden, CT
• Providers in Hamden, 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 Jun 27, 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.