Active NPI
General and Laproscopic Surgical
- Surgery Physician
- Derby, CT
National Provider Identifier
1720018336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- GENERAL AND LAPROSCOPIC SURGICAL
- Practice address
- 300 Symour Ave
Ste 202
Derby, CT 06418-1343 - Phone
- (203) 732-3443
- Fax
- (203) 732-4011
- NPI assigned
- Jul 3, 2006
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katherine Nicastri
- Title
- Office Manager
- Phone
- (203) 732-3443
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | CT | Primary |
Addresses
Primary practice location
300 Symour Ave
Ste 202
Derby, CT 06418-1343
Mailing address
300 Symour Ave
Ste 202
Derby, CT 06418-1343
Phone (203) 732-3443
National Provider Directory
National Provider DirectoryLocations
350 Seymour Ave
Ste 101
Derby, CT 06418
Phone (203) 732-3443
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Derby, CT
- NPI 1568491181
-
- Surgery Physician
- Derby, CT
- NPI 1801823729
-
- Surgery Physician
- Rochester, NY
- NPI 1720017353
-
- Surgery Physician
- Royal Palm Beach, FL
- NPI 1609861202
-
- Surgery Physician
- Warwick, RI
- NPI 1801826326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1720018336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SYMOUR AVE",
"address_2": "STE 202",
"city": "DERBY",
"state": "CT",
"postal_code": "064181343",
"telephone_number": "203-732-3443",
"fax_number": "203-732-4011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SYMOUR AVE",
"address_2": "STE 202",
"city": "DERBY",
"state": "CT",
"postal_code": "064181343",
"telephone_number": "203-732-3443",
"fax_number": "203-732-4011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENERAL AND LAPROSCOPIC SURGICAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-03",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "NICASTRI",
"authorized_official_first_name": "KATHERINE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "203-732-3443"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Derby, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.