Department of Veterans Affair

Primary specialty

Operational (Transportable) Military General Acute Care HospitalTaxonomy code 2865X1600X

License

070507 Issued in CT

Legal business name

DEPARTMENT OF VETERANS AFFAIR

Practice address

202 Main St
Unit 3D
West Haven, CT 06516-4558

Phone

(203) 745-5175

NPI assigned

Jul 7, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Wanda Casas

Title

RN

Phone

(203) 932-5711

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1183766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477751766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 MAIN ST APT 3D",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164559",
            "telephone_number": "203-745-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MAIN ST",
            "address_2": "UNIT 3D",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164558",
            "telephone_number": "203-745-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERANS AFFAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASAS",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "203-932-5711",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2865X1600X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital. Operational (Transportable)",
            "state": "CT",
            "license": "070507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Demsky
• Jessica Deng
• Anthony M Denos
• Dental Associates of Southern New England, P.C
• Department of Veteran Affairs
• Department of Veterans Affairs
• Lauren Depietro
• Harsida Desai, OD
• Jesse James Desanti, R.N.
• Alexandra Desantis

• Military Hospital in West Haven, CT
• Providers in West Haven, CT by specialty
• Military Hospital in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.