Active NPI
Arlen I Lichter, MD
- Physical Medicine & Rehabilitation Physician
- Waterbury, CT
National Provider Identifier
1598855728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 026437
- Practice address
- 1320 W Main St
BLDG #2
Waterbury, CT 06708 - Phone
- (203) 755-9355
- Fax
- (203) 597-8192
- NPI assigned
- Oct 16, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 026437 | CT | Primary |
Addresses
Primary practice location
1320 W Main St
BLDG #2
Waterbury, CT 06708
Mailing address
1320 W Main St
BLDG #2
Waterbury, CT 06708
Phone (203) 755-9355
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7401415003 | Other | CIGNA | |
| NHS075 | Other | OXFORD | |
| 706580 | Other | CONNECTICARE | |
| 0076757 | Other | AETNA US HEALTH CARE | |
| 010026437CT01 | Other | ANTHEM BCBS OF CT | |
| ORO322 | Other | HEALTH NET |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026437 | CT | MD | Physical Medicine & Rehabilitation Physician |
Interoperability endpoints
- alichter@direct.wtbyhosp.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Waterbury, CT
- NPI 1972598126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598855728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 W MAIN ST",
"address_2": "BLDG #2",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06708",
"telephone_number": "203-755-9355",
"fax_number": "203-597-8192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 W MAIN ST",
"address_2": "BLDG #2",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06708",
"telephone_number": "203-755-9355",
"fax_number": "203-597-8192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LICHTER",
"first_name": "ARLEN",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CT",
"license": "026437",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7401415003",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "NHS075",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "706580",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTH CARE",
"identifier": "0076757",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS OF CT",
"identifier": "010026437CT01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "ORO322",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.