Active NPI
Geoffrey Mukasa Mukwaya, M.D.
- Pediatrics Physician
- Sandy Hook, CT
National Provider Identifier
1609052588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 041978
- Practice address
- 15 Fawnwood Rd
Sandy Hook, CT 06482-1471 - Phone
- (203) 364-1854
- Fax
- (646) 441-6640
- NPI assigned
- Jan 10, 2008
- Last updated
- Jan 10, 2008
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 041978 | CT | Primary |
Addresses
Primary practice location
15 Fawnwood Rd
Sandy Hook, CT 06482-1471
Mailing address
15 Fawnwood Rd
Sandy Hook, CT 06482-1471
Phone (203) 364-1854
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041978 | CT | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199923200000",
"number": "1609052588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 FAWNWOOD RD",
"city": "SANDY HOOK",
"state": "CT",
"postal_code": "064821471",
"telephone_number": "203-364-1854",
"fax_number": "646-441-6640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 FAWNWOOD RD",
"city": "SANDY HOOK",
"state": "CT",
"postal_code": "064821471",
"telephone_number": "203-364-1854",
"fax_number": "646-441-6640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUKWAYA",
"first_name": "GEOFFREY",
"middle_name": "MUKASA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-10",
"last_updated": "2008-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "041978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandy Hook, CT
- Mobile Family Health Nurse Practitioner Care PLLC
- Katherine Moore, LPC
- Kimberly Morello
- Susan Morse, LCSW
- Daniel Mosner, CAC
- Heather Murray, BCBA, LBA
- Jeffrey Nettle, MA, LPC
- Newtown Acquisition Operator, LLC (Stone Bridge Center for Nursing & Rehabilitation)
- Newtown Youth and Family Services, Inc.
- Catherine Elizabeth O'Grady, MSW, CAC,ICAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.