Organization Active NPI

Saint Raphael Mr Center

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • New Haven, CT
National Provider Identifier
1386637742
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
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

Updated by the provider on Feb 1, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
004088896MedicaidCT

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.