Active NPI
Pequot Medical Associates, PC
- Surgery Physician
- Bridgeport, CT
National Provider Identifier
1386699395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- PEQUOT MEDICAL ASSOCIATES, PC
- Practice address
- 2800 Main St
Bridgeport, CT 06606-4201 - Phone
- (203) 576-5435
- Fax
- (203) 373-9414
- NPI assigned
- May 24, 2006
- Last updated
- Jul 10, 2007
- 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
- Benjamin H Tsang, MD
- Title
- MD
- Phone
- (203) 576-5435
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | |||
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
2800 Main St
Bridgeport, CT 06606-4201
Mailing address
115 Technology Dr
C-100
Trumbull, CT 06611-6337
Phone (203) 268-5212
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, and the practitioner matching its NPPES authorized official.
-
- Neonatal-Perinatal Medicine Physician
- Bridgeport, CT
- NPI 1144245002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184025600000",
"number": "1386699395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 TECHNOLOGY DR",
"address_2": "C-100",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066116337",
"telephone_number": "203-268-5212",
"fax_number": "203-268-6779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 MAIN ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066064201",
"telephone_number": "203-576-5435",
"fax_number": "203-373-9414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEQUOT MEDICAL ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-24",
"last_updated": "2007-07-10",
"status": "A",
"authorized_official_last_name": "TSANG",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "203-576-5435",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.