Individual provider Active NPI

Nelson Ugwu, MD

  • MOHS-Micrographic Surgery Physician
  • New Haven, CT
National Provider Identifier
1528636529
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
81233 Issued in CT
Practice address
40 Temple St Ste 5a
New Haven, CT 06510-2745
Phone
(203) 785-3466
NPI assigned
Jun 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 81233 CT Primary

Addresses

Primary practice location

40 Temple St Ste 5a
New Haven, CT 06510-2745

Mailing address

40 Temple St Ste 5a
New Haven, CT 06510-2745
Phone (203) 785-3466

Other practice location 1

322 E Main St
Branford, CT 06405-3136
Phone (203) 481-3419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210813001321 MA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 9436553351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: nugwu344077@direct.ynhh.org

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1528636529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 TEMPLE ST STE 5A",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102745",
            "telephone_number": "203-785-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 TEMPLE ST STE 5A",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102745",
            "telephone_number": "203-785-3466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 E Main St",
            "address_purpose": "LOCATION",
            "city": "Branford",
            "state": "CT",
            "postal_code": "064053136",
            "country_code": "US",
            "telephone_number": "203-481-3419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UGWU",
        "first_name": "NELSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-15",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CT",
            "license": "81233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.