Organization Active NPI

Lady Olga'S Lingerie

  • Durable Medical Equipment & Medical Supplies
  • Hamden, CT
National Provider Identifier
1194780080
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LADY OLGA'S LINGERIE
Practice address
3490 Whitney Ave
Hamden, CT 06518-1936
Phone
(203) 288-1133
Fax
(203) 288-6399
NPI assigned
Apr 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Ms. Jeniene M. Ferguson, CMF
Title
Owner
Phone
(203) 288-1133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3490 Whitney Ave
Hamden, CT 06518-1936

Mailing address

3490 Whitney Ave
Hamden, CT 06518-1936
Phone (203) 288-1133

Other identifiers 5

IdentifierTypeStateIssuer
0605442OtherCTAETNA PROVIDER I.D.
1081160OtherCTHMC/FOCUS PROVIDER I.D.
OR4663OtherCTHEALTH NET PROVIDER I.D.
797849OtherCTCONNECTICARE PROV. I.D.
12DME0544CT01OtherCTANTHEM BCBS PROV. I.D.

National Provider Directory

National Provider Directory

Locations

3490 Whitney Ave
Hamden, CT 06518
Phone (203) 288-1133

8 Broad St
Milford, CT 06460

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1194780080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3490 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065181936",
            "telephone_number": "203-288-1133",
            "fax_number": "203-288-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065181936",
            "telephone_number": "203-288-1133",
            "fax_number": "203-288-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADY OLGA'S LINGERIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "JENIENE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-288-1133",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMF"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER I.D.",
            "identifier": "0605442",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMC/FOCUS PROVIDER I.D.",
            "identifier": "1081160",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET PROVIDER I.D.",
            "identifier": "OR4663",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE PROV. I.D.",
            "identifier": "797849",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PROV. I.D.",
            "identifier": "12DME0544CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.