Active NPI
Gaurang Shastri
- Perfusionist
- Farmington, CT
National Provider Identifier
1306268750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perfusionist
- License
- 72
- Practice address
- 263 Farmington Ave
Farmington, CT 06030-0001 - Phone
- (860) 679-4450
- Fax
- (860) 679-1992
- NPI assigned
- Jan 18, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | 287 | CT | |
| Perfusionist | 242T00000X | 72 | CT | Primary |
Addresses
Primary practice location
263 Farmington Ave
Farmington, CT 06030-0001
Mailing address
263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-4450
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 |
|---|---|---|---|
| 287 | CT | MD | Mental Health Counselor |
| 72 | CT | MD | Perfusionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390003200000",
"number": "1306268750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060300001",
"telephone_number": "860-679-4450",
"fax_number": "860-679-1992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060300001",
"telephone_number": "860-679-4450",
"fax_number": "860-679-1992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHASTRI",
"first_name": "GAURANG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-18",
"last_updated": "2014-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "CT",
"license": "287",
"primary": false
},
{
"code": "242T00000X",
"taxonomy_group": "",
"desc": "Perfusionist",
"state": "CT",
"license": "72",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.