John M Willett MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

JOHN M WILLETT MD

Practice address

1 Long Wharf Drive
Suite 302
New Haven, CT 06511

Phone

(203) 777-7500

Fax

(203) 777-8469

NPI assigned

Jan 23, 2023

Organization subpart

Yes

Parent organization

JOHN M WILLETT MDAs reported in NPPES

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

Authorized official

Name

Mrs. Elizabeth Sullivan

Title

Practice Manger

Phone

(230) 777-7500

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

John M Willett MD

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1487369591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LONG WHARF DRIVE",
            "address_2": "SUITE 302",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06511",
            "telephone_number": "203-777-7500",
            "fax_number": "203-777-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LONG WHARF DRIVE",
            "address_2": "SUITE 302",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06511",
            "telephone_number": "203-777-7500",
            "fax_number": "203-777-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M WILLETT MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN M WILLETT MD",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRACTICE MANGER",
        "authorized_official_telephone_number": "230-777-7500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001317363",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ragni Jindal, M.D.
• Pichamol Jirapinyo, MD
• Kristen Jockel, APRN, CRNA
• David W. Joel, O.D.
• Wanda D Jofre, LCSW
• John Minner, MD, LLC
• Nithyla Rosalynn John
• Christina Johns, MD
• Keith Dennis Johns, D.M.D., M.B.A.
• Alexander Johnson, MD

• Otolaryngology Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Otolaryngology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.