NPIMap

Organization Active NPI

Radiologic Assoc of Middletown PC

Doing business as West Haven Radiology

  • Diagnostic Radiology Physician
  • West Haven, CT
National Provider Identifier
1730298936
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGIC ASSOC OF MIDDLETOWN PC
Doing business as
West Haven Radiology
Practice address
687 Campbell Ave
West Haven, CT 06515
Phone
(203) 934-4482
Fax
(203) 934-8803
NPI assigned
Aug 30, 2006
Last updated
Sep 19, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
RADIOLOGIC ASSOC OF MIDDLETOWN PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Erik Pingoud, MDNPI 1164442414
Title
President
Phone
(860) 346-8481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

687 Campbell Ave
West Haven, CT 06515

Mailing address

PO Box 931
330 S Main St
Middletown, CT 06457
Phone (860) 346-8481

Other names 1

  • West Haven Radiology Doing business as

National Provider Directory

National Provider Directory
Part of
Radiologic Associates M

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1730298936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931",
            "address_2": "330 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "06457",
            "telephone_number": "860-346-8481",
            "fax_number": "860-346-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 CAMPBELL AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "06515",
            "telephone_number": "203-934-4482",
            "fax_number": "203-934-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGIC ASSOC OF MIDDLETOWN PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RADIOLOGIC ASSOC OF MIDDLETOWN PC",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "PINGOUD",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-346-8481",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Haven Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.