Active NPI
Roger D Luskind, M.D.
- Ophthalmology Physician
- Middletown, CT
National Provider Identifier
1235110354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 29136
- Practice address
- 400 Saybrook Rd
Suite 100
Middletown, CT 06457-4773 - Phone
- (860) 347-7466
- Fax
- (860) 347-2619
- NPI assigned
- Nov 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 29136 | CT | Primary |
Addresses
Primary practice location
400 Saybrook Rd
Suite 100
Middletown, CT 06457-4773
Mailing address
400 Saybrook Rd
Suite 100
Middletown, CT 06457-4773
Phone (860) 347-7466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29136 | CT | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1235110354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 SAYBROOK RD",
"address_2": "SUITE 100",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064574773",
"telephone_number": "860-347-7466",
"fax_number": "860-347-2619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SAYBROOK RD",
"address_2": "SUITE 100",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064574773",
"telephone_number": "860-347-7466",
"fax_number": "860-347-2619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUSKIND",
"first_name": "ROGER",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CT",
"license": "29136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.