Active NPI
Private OB GYN Associates
- Obstetrics & Gynecology Physician
- New Haven, CT
National Provider Identifier
1225298425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 24728
- Legal business name
- PRIVATE OB GYN ASSOCIATES
- Practice address
- 1488 Chapel St
New Haven, CT 06511-4332 - Phone
- (203) 562-9939
- Fax
- (203) 782-2476
- NPI assigned
- Jun 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Eric C Palluotto, M.D.
- Title
- Owner/Partner
- Phone
- (203) 562-9939
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 24728 | CT | Primary |
Addresses
Primary practice location
1488 Chapel St
New Haven, CT 06511-4332
Mailing address
1488 Chapel St
New Haven, CT 06511-4332
Phone (203) 562-9939
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213142400000",
"number": "1225298425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1488 CHAPEL ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065114332",
"telephone_number": "203-562-9939",
"fax_number": "203-782-2476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1488 CHAPEL ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065114332",
"telephone_number": "203-562-9939",
"fax_number": "203-782-2476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIVATE OB GYN ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-11",
"last_updated": "2008-06-11",
"status": "A",
"authorized_official_last_name": "PALLUOTTO",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER/PARTNER",
"authorized_official_telephone_number": "203-562-9939",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "CT",
"license": "24728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.