Sky Health Group PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SKY HEALTH GROUP PC

Practice address

64 Blue Ridge Drive
Waterbury, CT 06704

Phone

(917) 747-4993

NPI assigned

Mar 12, 2020

Last updated

Mar 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Simon Fensterszaub, DO

Title

President

Phone

(917) 747-4993

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1679108492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 BLUE RIDGE DRIVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06704",
            "telephone_number": "917-747-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 BLUE RIDGE DRIVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06704",
            "telephone_number": "917-747-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY HEALTH GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "FENSTERSZAUB",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-747-4993",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidhant Singh, MD
• Upinder G Singh, DMD
• Ann Skariya
• Amanda Skinner, CNM
• Craig Sklar, M.D.
• Adam Douglas Slawin, LPC
• Meghan Marie Slemmens, M.D.
• Dorothy Sliwonik
• Rebecca Lynn Slocum, PT, DPT
• Carrie A Smail, LCSW

• Family Medicine Physician in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.