Organization Active NPI

Connecticut Oncology & Hematology LLP

  • Clinical Medical Laboratory
  • Torrington, CT
National Provider Identifier
1619140829
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
07D0100617 Issued in CT
Legal business name
CONNECTICUT ONCOLOGY & HEMATOLOGY LLP
Practice address
200 Kennedy Dr
Torrington, CT 06790-3096
Phone
(860) 482-5384
Fax
(860) 496-5072
NPI assigned
Apr 9, 2008
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. Ivan S Lowenthal, M.D.
Title
Physician
Phone
(860) 482-5384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 07D0100617 CT Primary

Addresses

Primary practice location

200 Kennedy Dr
Torrington, CT 06790-3096

Mailing address

200 Kennedy Dr
Torrington, CT 06790-3096
Phone (860) 482-5384

Other identifiers 1

IdentifierTypeStateIssuer
004118528MedicaidCT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1619140829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 KENNEDY DR",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903096",
            "telephone_number": "860-482-5384",
            "fax_number": "860-496-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 KENNEDY DR",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903096",
            "telephone_number": "860-482-5384",
            "fax_number": "860-496-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT ONCOLOGY & HEMATOLOGY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "LOWENTHAL",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "860-482-5384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CT",
            "license": "07D0100617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004118528",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.

Verify at the official NPI Registry.