Fereshteh Ghofrany, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

015813 Issued in CT

Practice address

1450 Chapel St.
Saint Raphael Faculty Physicians
New Haven, CT 06511

Phone

(203) 789-3388

NPI assigned

Jan 31, 2007

Last updated

Sep 12, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saint Raphael Faculty Physicians

  • Internal Medicine Physician
  • New Haven, CT
  • NPI 1932138138
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1659418275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1951",
            "address_2": "SAINT RAPHAEL FACULTY PHYSICIANS",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053021951",
            "telephone_number": "508-595-0531",
            "fax_number": "508-829-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CHAPEL ST.",
            "address_2": "SAINT RAPHAEL FACULTY PHYSICIANS",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06511",
            "telephone_number": "203-789-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOFRANY",
        "first_name": "FERESHTEH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "015813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre Ghantous, M.D.
• Parastoo Pamela Ghazi, PH.D.
• Annie Noor Gheasuddin, MB, BS, BS
• Michael Ghio, MD
• Marissa Ghiroli, APRN
• Abdulmohsen Ghuloum
• Gina M. Giacinto Kessler, R.D.
• Antonio Angelo Giaimo, M.D.
• Roza Maria Giannakopoulos, PHARMD
• Devon Giannelli, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.