NPIMap

Organization Active NPI

Endocrine Assoc of CT LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Hamden, CT
National Provider Identifier
1295929230
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
ENDOCRINE ASSOC OF CT LLC
Practice address
1952 Whitney Ave
Suite 14
Hamden, CT 06517-1209
Phone
(203) 776-4444
Fax
(203) 776-4441
NPI assigned
Sep 4, 2007
Last updated
Feb 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Authorized official

Name
Dr. Adam B Mayerson, MDNPI 1457451015
Title
Partner Member
Phone
(203) 776-4444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

1952 Whitney Ave
Suite 14
Hamden, CT 06517-1209

Mailing address

1952 Whitney Ave
Suite 14
Hamden, CT 06517-1209
Phone (203) 776-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041217000563 CT Part B Supplier - Clinic/Group Practice 0840257192 Receives reassigned benefits from 15 practitioners
Practice locations: Branford, CT; Hamden, CT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D0988332Endocrine Associates of CT1952 Whitney Ave, Suite - 14, Hamden, CT 06517Certificate of waiverJun 25, 2027

National Provider Directory

National Provider Directory

Locations

688 E Main St
Ste 1A
Branford, CT 06405
Phone (203) 488-5885

1952 Whitney Ave
Ste 14
Hamden, CT 06517
Phone (203) 766-4444

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1295929230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 WHITNEY AVE",
            "address_2": "SUITE 14",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065171209",
            "telephone_number": "203-776-4444",
            "fax_number": "203-776-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 WHITNEY AVE",
            "address_2": "SUITE 14",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065171209",
            "telephone_number": "203-776-4444",
            "fax_number": "203-776-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINE ASSOC OF CT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "MAYERSON",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PARTNER MEMBER",
        "authorized_official_telephone_number": "203-776-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.