Active NPI
Marshall Nathan Lassman, MD
- Endocrinology, Diabetes & Metabolism Physician
- Hartford, CT
National Provider Identifier
1629040357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 0015106
- Practice address
- 1000 Asylum Ave
Ste 4310
Hartford, CT 06105-1770 - Phone
- (860) 247-2137
- Fax
- (860) 728-0480
- NPI assigned
- Feb 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 015106 | CT | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 015106 | CT | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 0015106 | CT | Primary |
Addresses
Primary practice location
1000 Asylum Ave
Ste 4310
Hartford, CT 06105-1770
Mailing address
263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3245
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010015106CT01 | Other | CT | BCBS |
| 001151067 | Medicaid | CT | |
| 015106 | Other | CT | MEDICAL LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0015106 | CT | MD | Endocrinology, Diabetes & Metabolism Physician |
| 015106 | CT | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Connecticut Health Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Farmington, CT
- NPI 1427031293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1629040357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060300001",
"telephone_number": "860-679-3245",
"fax_number": "860-679-0121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 ASYLUM AVE",
"address_2": "STE 4310",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051770",
"telephone_number": "860-247-2137",
"fax_number": "860-728-0480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASSMAN",
"first_name": "MARSHALL",
"middle_name": "NATHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "015106",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CT",
"license": "015106",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CT",
"license": "0015106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "010015106CT01",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001151067",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "015106",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.