NPIMap

Organization Active NPI

Viswa Nathan MD LLC

  • Preferred Provider Organization
  • New Haven, CT
National Provider Identifier
1346558350
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
022726 Issued in CT
Legal business name
VISWA NATHAN MD LLC
Practice address
136 Sherman Ave
Suite 308
New Haven, CT 06511-5238
Phone
(203) 946-3000
Fax
(203) 946-3006
NPI assigned
Sep 24, 2010
Last updated
Jun 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Authorized official

Name
Dr. Viswa Nathan, M.D.NPI 1730161720
Title
Owner
Phone
(203) 946-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 022726 CT Primary

Addresses

Primary practice location

136 Sherman Ave
Suite 308
New Haven, CT 06511-5238

Mailing address

136 Sherman Ave
Suite 308
New Haven, CT 06511-5238
Phone (203) 946-3000

Other names 1

  • Viswa Nathan MD Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1346558350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SHERMAN AVE",
            "address_2": "SUITE 308",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115238",
            "telephone_number": "203-946-3000",
            "fax_number": "203-946-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 SHERMAN AVE",
            "address_2": "SUITE 308",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115238",
            "telephone_number": "203-946-3000",
            "fax_number": "203-946-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISWA NATHAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "NATHAN",
        "authorized_official_first_name": "VISWA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-946-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CT",
            "license": "022726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Viswa Nathan MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 9, 2015; 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.