Peter R Rogol MD LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

024790 Issued in CT

Legal business name

PETER R ROGOL MD LLC

Practice address

2080 Whitney Ave
210
Hamden, CT 06518-3600

Phone

(203) 248-8800

Fax

(203) 288-5264

NPI assigned

Feb 5, 2014

Organization subpart

No

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

Authorized official

Name

Cecilia Elliott

Title

Secretary

Phone

(203) 248-8800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1346664786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 WHITNEY AVE",
            "address_2": "210",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183600",
            "telephone_number": "203-248-8800",
            "fax_number": "203-288-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 WHITNEY AVE",
            "address_2": "210",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183600",
            "telephone_number": "203-248-8800",
            "fax_number": "203-288-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER R ROGOL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "203-248-8800"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "024790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perfect Timing Therapeutic Services,LLC
• Stephanie P. Perkins, CPNP
• Nancy L. Perron, RPT
• Sebastian Antony Perumbilly, PH.D., LMFT
• Marquasha Petaway
• Kristin S Peters, MSPT, CHT
• Leslie H Peters, CCC-SLP
• Susan Marie Peters, APRN
• Kathryn Mary Peterson, APRN
• Danielle Loni Petit, PA-C

• Pulmonary Disease Physician in Hamden, CT
• Providers in Hamden, CT by specialty
• Pulmonary Disease Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.

Verify at the official NPI Registry.