Organization Active NPI

Connecticut Neuroscience, PC

  • Durable Medical Equipment & Medical Supplies
  • New Haven, CT
National Provider Identifier
1467672022
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
34941 Issued in CT
Legal business name
CONNECTICUT NEUROSCIENCE, PC
Practice address
230 George St
5TH Floor
New Haven, CT 06510-3224
Phone
(203) 781-3400
Fax
(203) 781-3414
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Authorized official

Name
Martin Hasenfeld, MD
Title
Vice President
Phone
(203) 781-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 34941 CT Primary

Addresses

Primary practice location

230 George St
5TH Floor
New Haven, CT 06510-3224

Mailing address

230 George St
5TH Floor
New Haven, CT 06510-3224
Phone (203) 781-3400

Other identifiers 13

IdentifierTypeStateIssuer
1710993381OtherCTNPI
1053562926OtherCTNPI
1477568053OtherCTNPI
1417962093OtherCTNPI
1831127265OtherCTNPI
1659387256OtherCTNPI
1548275092OtherCTNPI
165938756OtherCTNPI
1952317521OtherCTNPI
1295741825OtherCTNPI
1366591778OtherCTNPI
1649286220OtherCTNPI
1356357933OtherCTNPI

Other names 1

  • CONNECTICUT NEUROSURGERY, PC Former legal business name

National Provider Directory

National Provider Directory

Locations

230 George St
Ste 5
New Haven, CT 06510
Phone (203) 781-3400

1 Bradley Rd
Ste 501502
Woodbridge, CT 06525
Phone (203) 389-2278

1 Bradley Rd
#501502
Woodbridge, CT 06525

Practitioners & affiliated clinicians

Practitioners 5

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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1467672022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 GEORGE ST",
            "address_2": "5TH FLOOR",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103224",
            "telephone_number": "203-781-3400",
            "fax_number": "203-781-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 GEORGE ST",
            "address_2": "5TH FLOOR",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103224",
            "telephone_number": "203-781-3400",
            "fax_number": "203-781-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT NEUROSCIENCE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "HASENFELD",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "203-781-3400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "34941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1710993381",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1053562926",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477568053",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1417962093",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1831127265",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659387256",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548275092",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "165938756",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1952317521",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295741825",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366591778",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649286220",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356357933",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONNECTICUT NEUROSURGERY, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Dec 10, 2013; 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.