Organization Active NPI

Hindola Konrad MD, PC

  • Ophthalmology Physician
  • Newtown, CT
National Provider Identifier
1598938367
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
037958 Issued in CT
Legal business name
HINDOLA KONRAD MD, PC
Practice address
164 Mount Pleasant Rd Ste 201
Newtown, CT 06470-1475
Phone
(203) 297-6869
NPI assigned
Apr 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Araceli Saavedra
Title
Assistant
Phone
(203) 297-6869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 037958 CT Primary

Addresses

Primary practice location

164 Mount Pleasant Rd Ste 201
Newtown, CT 06470-1475

Mailing address

164 Mount Pleasant Rd Ste 201
Newtown, CT 06470-1475
Phone (203) 297-6869

Other identifiers 1

IdentifierTypeStateIssuer
010037958CT01OtherCTBLUE CROSS BLUE SHIELD CT

National Provider Directory

National Provider Directory
Tax ID family
Hindola Konrad MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

164 Mount Pleasant Rd
Ste 201
Newtown, CT 06470
Phone (203) 297-6869

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1598938367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 MOUNT PLEASANT RD STE 201",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701475",
            "telephone_number": "203-297-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 MOUNT PLEASANT RD STE 201",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701475",
            "telephone_number": "203-297-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINDOLA KONRAD MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "SAAVEDRA",
        "authorized_official_first_name": "ARACELI",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "203-297-6869"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "037958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD CT",
            "identifier": "010037958CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.