Active NPI
Mohammed Alamgir
- Exclusive Provider Organization
- Wallingford, CT
National Provider Identifier
1235719865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- 3575
- Practice address
- 2 Dean Dr
Wallingford, CT 06492-3216 - Phone
- (203) 506-9944
- NPI assigned
- Apr 8, 2021
- Last updated
- May 4, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | 3575 | CT | Primary |
Addresses
Primary practice location
2 Dean Dr
Wallingford, CT 06492-3216
Mailing address
107 Medford St
West Haven, CT 06516-2557
Phone (917) 520-5006
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3575 | CT | MD | Exclusive Provider Organization |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1235719865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 MEDFORD ST",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065162557",
"telephone_number": "917-520-5006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 DEAN DR",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064923216",
"telephone_number": "203-506-9944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALAMGIR",
"first_name": "MOHAMMED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-08",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "CT",
"license": "3575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wallingford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.