Active NPI
Kalman L Watsky
- Dermatology Physician
- New Haven, CT
National Provider Identifier
1558557819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 029613
- Legal business name
- KALMAN L WATSKY
- Practice address
- 330 Orchard St
Suite 103
New Haven, CT 06511-4417 - Phone
- (203) 789-4045
- Fax
- (203) 789-3744
- NPI assigned
- Sep 20, 2007
- Last updated
- Sep 20, 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
- Kristen G Fitzgerald
- Title
- Practice Administrator
- Phone
- (203) 789-4045
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 029613 | CT | Primary |
Addresses
Primary practice location
330 Orchard St
Suite 103
New Haven, CT 06511-4417
Mailing address
330 Orchard St
Suite 103
New Haven, CT 06511-4417
Phone (203) 789-4045
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C02398 | Other | CT | GROUP NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190246400000",
"number": "1558557819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 ORCHARD ST",
"address_2": "SUITE 103",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065114417",
"telephone_number": "203-789-4045",
"fax_number": "203-789-3744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 ORCHARD ST",
"address_2": "SUITE 103",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065114417",
"telephone_number": "203-789-4045",
"fax_number": "203-789-3744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KALMAN L WATSKY",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-20",
"last_updated": "2007-09-20",
"status": "A",
"authorized_official_last_name": "FITZGERALD",
"authorized_official_first_name": "KRISTEN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "203-789-4045"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CT",
"license": "029613",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NUMBER",
"identifier": "C02398",
"state": "CT"
}
],
"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 Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.