Frank John Ninivaggi, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

17709 Issued in CT

Practice address

200 Orchard Street
New Haven, CT 06510

Phone

(203) 789-8753

Fax

(860) 868-6711

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511308800000",
    "number": "1609880434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 LAMBERT ROAD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064771805",
            "telephone_number": "203-789-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ORCHARD STREET",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06510",
            "telephone_number": "203-789-8753",
            "fax_number": "860-868-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NINIVAGGI",
        "first_name": "FRANK",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2017-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "17709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001177096",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Nieves
• Ariyaneh Nikbin, MD
• Laura E Niklason, MD
• Sen Jacob Ninan, BA, MD
• James Gerard Ninia, MD
• Roy Nisenson, PHD MDIV
• Derek Edward Nitz
• Traci D Nix, PSYD
• Basile M Njei, MD, PHD, MPH
• Annette Njoroge, PHARMD

• Psychiatry Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; 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.