Organization Active NPI

General and Laproscopic Surgical

  • Surgery Physician
  • Derby, CT
National Provider Identifier
1720018336
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.