Active NPI
New England Retina Associates, P.C
- Retina Specialist (Ophthalmology) Physician
- Hamden, CT
National Provider Identifier
1497876502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- Legal business name
- NEW ENGLAND RETINA ASSOCIATES, P.C
- Practice address
- 2200 Whitney Ave
Suite 300
Hamden, CT 06518 - Phone
- (203) 288-2020
- Fax
- (203) 288-2470
- NPI assigned
- Apr 3, 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
- Donna A. Connerton
- Title
- Administrator
- Phone
- (203) 288-2020
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | |||
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | Primary |
Addresses
Primary practice location
2200 Whitney Ave
Suite 300
Hamden, CT 06518
Mailing address
2200 Whitney Ave
Suite 300
Hamden, CT 06518
Phone (203) 288-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004182789 | Medicaid | CT |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D1068721 | New England Retina Associates | Certificate of waiver | May 17, 2027 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- ghaffner@retinamd.intellechartdirect.net
- dtom@retinamd.intellechartdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516060800000",
"number": "1497876502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 WHITNEY AVE",
"address_2": "SUITE 300",
"city": "HAMDEN",
"state": "CT",
"postal_code": "06518",
"telephone_number": "203-288-2020",
"fax_number": "203-288-2470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 WHITNEY AVE",
"address_2": "SUITE 300",
"city": "HAMDEN",
"state": "CT",
"postal_code": "06518",
"telephone_number": "203-288-2020",
"fax_number": "203-288-2470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW ENGLAND RETINA ASSOCIATES, P.C",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2018-01-16",
"status": "A",
"authorized_official_last_name": "CONNERTON",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "203-288-2020"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology, Retina Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004182789",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hamden, CT
- Erwin Nepomuceno, APRN
- Julia Ann Nesteruk, L.M.F.T.
- Neuropsychology and Brain Injury Rehabilitation Services, PC
- New Beginnings Behavioral Health LLC
- New England Balance and Wellness, LLC
- New Hamden Pharmacy Corp
- New Haven County Senior Care, LLC
- New Haven Dental Group
- New Haven Foot and Ankle Group,Inc
- New Haven Radiology Associates, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.