Montowese Physicians Group

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MONTOWESE PHYSICIANS GROUP

Practice address

163 Quinnipiac Ave
North Haven, CT 06473-3623

Phone

(203) 624-3303

Fax

(203) 789-4433

NPI assigned

Dec 5, 2007

Organization subpart

Yes

Parent organization

MONTOWESE HEALTH & REHABILITATION CTRAs reported in NPPES

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

Authorized official

Name

Farooq H Khan

Title

President / Administrator

Phone

(203) 624-3303

Specialties & licenses 1

Addresses

Part of

Montowese Health Rehabililtation Center

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1760664403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 QUINNIPIAC AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733623",
            "telephone_number": "203-624-3303",
            "fax_number": "203-789-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 QUINNIPIAC AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733623",
            "telephone_number": "203-624-3303",
            "fax_number": "203-789-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTOWESE PHYSICIANS GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTOWESE HEALTH & REHABILITATION CTR",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FAROOQ",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT / ADMINISTRATOR",
        "authorized_official_telephone_number": "203-624-3303"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Mohr, LCSW
• Monique Proto, LLC
• Montowese Acquisition Operator, LLC
• Montowese Chiropractic Center LLC
• Montowese Health & Rehabililtation Center
• Aeden P. Morley, DPT
• Stephen F Morley, APRN
• Katherine Morrison, APRN
• Mr. Therapy Guy LLC
• Sandip Mukherjee, MD, FACC, FACP

• Nurse Practitioner in North Haven, CT
• Providers in North Haven, CT by specialty
• Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.