Active NPI
Lynne M Haven MD PC
- Dermatology Physician
- Greenwich, CT
National Provider Identifier
1366714180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- LYNNE M HAVEN MD PC
- Practice address
- 49 Lake Ave
Greenwich, CT 06830-4501 - Phone
- (203) 869-4242
- NPI assigned
- Feb 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lynne M Haven, MD
- Title
- Owner
- Phone
- (203) 869-4242
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
49 Lake Ave
Greenwich, CT 06830-4501
Mailing address
49 Lake Avenue
Greenwich, CT 06830
Phone (203) 869-4242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070000420 | Other | CT | MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Greenwich, CT
- NPI 1215070917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328745600000",
"number": "1366714180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 LAKE AVENUE",
"city": "GREENWICH",
"state": "CT",
"postal_code": "06830",
"telephone_number": "203-869-4242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 LAKE AVE",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068304501",
"telephone_number": "203-869-4242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LYNNE M HAVEN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-09",
"last_updated": "2012-02-09",
"status": "A",
"authorized_official_last_name": "HAVEN",
"authorized_official_first_name": "LYNNE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-869-4242",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "070000420",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.