NPIMap

Organization Active NPI

New Haven Medical Sports & Occupational Health PC

  • Clinic/Center
  • New Haven, CT
National Provider Identifier
1467770065
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
01097 Issued in CT
Legal business name
NEW HAVEN MEDICAL SPORTS & OCCUPATIONAL HEALTH PC
Practice address
1213 Chapel St
New Haven, CT 06511-4701
Phone
(203) 776-3375
Fax
(203) 776-3171
NPI assigned
May 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Dr. Stephen Piserchia
Title
President
Phone
(203) 776-3375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 01097 CT Primary

Addresses

Primary practice location

1213 Chapel St
New Haven, CT 06511-4701

Mailing address

1213 Chapel St
New Haven, CT 06511-4701
Phone (203) 776-3375

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1467770065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 CHAPEL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114701",
            "telephone_number": "203-776-3375",
            "fax_number": "203-776-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 CHAPEL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114701",
            "telephone_number": "203-776-3375",
            "fax_number": "203-776-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAVEN MEDICAL SPORTS & OCCUPATIONAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-07",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "PISERCHIA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-776-3375",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CT",
            "license": "01097",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 18, 2014; 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.