Active NPI
Malvin Charles Ware Sr., LMT
- Specialist
- New London, CT
National Provider Identifier
1598068348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 006450
- Practice address
- 40 Orchard St
New London, CT 06320-4818 - Phone
- (860) 389-2542
- NPI assigned
- Dec 17, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 006450 | CT | Primary |
Addresses
Primary practice location
40 Orchard St
New London, CT 06320-4818
Mailing address
40 Orchard Street
New London, CT 06320
Phone (860) 389-2545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006450 | CT | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292544000000",
"number": "1598068348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 ORCHARD STREET",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "06320",
"telephone_number": "860-389-2545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 ORCHARD ST",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063204818",
"telephone_number": "860-389-2542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARE",
"first_name": "MALVIN",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-17",
"last_updated": "2010-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CT",
"license": "006450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New London, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.