Organization Active NPI

New England Nephrology

  • Nephrology Physician
  • New Haven, CT
National Provider Identifier
1285848069
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
041357 Issued in CT
Legal business name
NEW ENGLAND NEPHROLOGY
Practice address
1423 Chapel St
3B
New Haven, CT 06511-4411
Phone
(203) 776-5050
Fax
(203) 776-5051
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John J Chang, M.D.
Title
Manager
Phone
(203) 776-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 041357 CT Primary

Addresses

Primary practice location

1423 Chapel St
3B
New Haven, CT 06511-4411

Mailing address

1423 Chapel St
3B
New Haven, CT 06511-4411
Phone (203) 776-5050

National Provider Directory

National Provider Directory

Locations

1423 Chapel St
Ste 3B
New Haven, CT 06511
Phone (203) 562-5551

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285848069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 CHAPEL ST",
            "address_2": "3B",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114411",
            "telephone_number": "203-776-5050",
            "fax_number": "203-776-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 CHAPEL ST",
            "address_2": "3B",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114411",
            "telephone_number": "203-776-5050",
            "fax_number": "203-776-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND NEPHROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-776-5050",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "041357",
            "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 Aug 22, 2020; 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.