Sevi Health CT Clover, PC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

SEVI HEALTH CT CLOVER, PC

Practice address

764 Campbell Ave Ste E
West Haven, CT 06516-3786

Phone

(203) 685-1653

NPI assigned

Apr 11, 2022

Last updated

Mar 7, 2023By 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

Piyush Gupta, MDNPI 1780945212

Title

Owner

Phone

(203) 685-1653

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Piyush Gupta, M.D.

  • Internal Medicine Physician
  • West Haven, CT
  • NPI 1780945212
  Authorized official Same address or phone

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1578205530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 JAMES ST STE 7",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133175",
            "telephone_number": "203-685-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 CAMPBELL AVE STE E",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163786",
            "telephone_number": "203-685-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVI HEALTH CT CLOVER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "PIYUSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-685-1653",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maksim Serebro, DDS
• Kristin Serowik, PHD
• Christina Ann Setkoski, DPT
• Sevi Cares CT PLLC
• Sevi CT LLC
• Seymour Vision LLC
• Nelofar Q Shafi, MD
• Angelin S Shajan, DO
• Heidi Anne Shamansky, RPT
• Tracy Leigh Shamas, APRN

• Adult Medicine Physician in West Haven, CT
• Providers in West Haven, CT by specialty
• Adult Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.