Active NPI
Saint Raphael Mr Center
- Magnetic Resonance Imaging (MRI) Clinic/Center
- New Haven, CT
National Provider Identifier
1386637742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Legal business name
- SAINT RAPHAEL MR CENTER
- Practice address
- 330 Orchard St
New Haven, CT 06511-4417 - Phone
- (203) 789-4120
- Fax
- (203) 789-5183
- NPI assigned
- Aug 31, 2005
- 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. Zenon Protopapas, MD
- Title
- Medical Director
- Phone
- (203) 789-4120
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | Primary |
Addresses
Primary practice location
330 Orchard St
New Haven, CT 06511-4417
Mailing address
11 Lunar Dr
Woodbridge, CT 06525-2320
Phone (203) 298-9113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004088896 | Medicaid | CT |
National Provider Directory
National Provider DirectoryLocations
11 Lunar Dr
Woodbridge, CT 06525
Phone (203) 298-9085
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nuclear Medicine Physician
- New Haven, CT
- NPI 1184616427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296518400000",
"number": "1386637742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 LUNAR DR",
"city": "WOODBRIDGE",
"state": "CT",
"postal_code": "065252320",
"telephone_number": "203-298-9113",
"fax_number": "203-298-9106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 ORCHARD ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065114417",
"telephone_number": "203-789-4120",
"fax_number": "203-789-5183"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAINT RAPHAEL MR CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-31",
"last_updated": "2011-02-01",
"status": "A",
"authorized_official_last_name": "PROTOPAPAS",
"authorized_official_first_name": "ZENON",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "203-789-4120",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004088896",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
- Saint Raphael Faculty Physicians II
- Saint Raphael Healthcare System Affiliated Physicians Inc
- Saint Raphael Healthcare System Affiliated Physicians Inc
- Saint Raphael Hospital
- Saint Raphael Hospital
- Saint Regis Healthcare Center
- Rachel Eve Sainte, FNP-BC
- Melisandje Sainvil
- Evelyn Marie Saiter-Meyers, LMSW
- Olga Vadimovna Sakharova, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.