Organization Active NPI

Kanagaratnam Jegathesan MD PC

  • Pulmonary Disease Physician
  • Waterbury, CT
National Provider Identifier
1598869596
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
KANAGARATNAM JEGATHESAN MD PC
Practice address
2271 East Main St
Waterbury, CT 06705
Phone
(203) 753-4131
Fax
(203) 753-6887
NPI assigned
Sep 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kanthimajhi Jegathesan, MD
Title
Secretary of the Corporation
Phone
(203) 753-4131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

2271 East Main St
Waterbury, CT 06705

Mailing address

2271 East Main St
Waterbury, CT 06705
Phone (203) 753-4131

Other identifiers 1

IdentifierTypeStateIssuer
50KJEGATHCT01OtherCTBCBS

National Provider Directory

National Provider Directory

Locations

2271 E Main St
Waterbury, CT 06705
Phone (203) 465-6400

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598869596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2271 EAST MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06705",
            "telephone_number": "203-753-4131",
            "fax_number": "203-753-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2271 EAST MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06705",
            "telephone_number": "203-753-4131",
            "fax_number": "203-753-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANAGARATNAM JEGATHESAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JEGATHESAN",
        "authorized_official_first_name": "KANTHIMAJHI",
        "authorized_official_title_or_position": "SECRETARY OF THE CORPORATION",
        "authorized_official_telephone_number": "203-753-4131",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "50KJEGATHCT01",
            "state": "CT"
        }
    ],
    "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 Aug 22, 2020; 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.