Active NPI
Mary E. Gillette, M.D.
- Gynecology Physician
- Hamden, CT
National Provider Identifier
1679505697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 021978
- Practice address
- 60 Washington Ave
Suite 201
Hamden, CT 06518-3271 - Phone
- (203) 230-2939
- Fax
- (203) 287-1845
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 021978 | CT | Primary |
Addresses
Primary practice location
60 Washington Ave
Suite 201
Hamden, CT 06518-3271
Mailing address
60 Washington Ave
Suite 201
Hamden, CT 06518-3271
Phone (203) 230-2939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001219781 | Medicaid | CT |
Other names 1
- Dr. Mary E. Gillette
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 |
|---|---|---|---|
| 021978 | CT | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386547200000",
"number": "1679505697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 WASHINGTON AVE",
"address_2": "SUITE 201",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183271",
"telephone_number": "203-230-2939",
"fax_number": "203-287-1845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 WASHINGTON AVE",
"address_2": "SUITE 201",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183271",
"telephone_number": "203-230-2939",
"fax_number": "203-287-1845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLETTE",
"first_name": "MARY",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2013-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CT",
"license": "021978",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001219781",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "GILLETTE",
"middle_name": "E.",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.