Active NPI
Subhash Chaddha, MD
- Pediatric Adolescent Medicine Physician
- Fairfield, CT
National Provider Identifier
1689742488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 16039
- Practice address
- 52 Beach Road
Fairfield, CT 06824-6017 - Phone
- (203) 255-4453
- Fax
- (203) 254-2499
- NPI assigned
- Dec 1, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 16039 | CT | Primary |
Addresses
Primary practice location
52 Beach Road
Fairfield, CT 06824-6017
Mailing address
52 Beach Road
Fairfield, CT 06824-6017
Phone (203) 255-4453
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0826903 | Other | CIGNA HEALTHCARE PLANS | |
| ZP174 | Other | OXFORD HEALTH PLANS | |
| 000270 | Other | HEALTH NET | |
| 4273114 | Other | AETNA HEALTH | |
| 2162200 | Other | AETNA HEALTH | |
| 49935 | Other | UNITED HEALTH CARE |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16039 | CT | MD | Pediatric Adolescent Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689742488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 BEACH ROAD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246017",
"telephone_number": "203-255-4453",
"fax_number": "203-254-2499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 BEACH ROAD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246017",
"telephone_number": "203-255-4453",
"fax_number": "203-254-2499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHADDHA",
"first_name": "SUBHASH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "CT",
"license": "16039",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE PLANS",
"identifier": "0826903",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "ZP174",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "000270",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH",
"identifier": "4273114",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH",
"identifier": "2162200",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "49935",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.