The Connecticut Center for Facial Plastic

Primary specialty

SpecialistTaxonomy code 174400000X

License

043483 Issued in CT

Legal business name

THE CONNECTICUT CENTER FOR FACIAL PLASTIC

Practice address

2200 Whitney Ave
Suite 260
Hamden, CT 06518-3691

Phone

(203) 248-8409

Fax

(203) 281-2905

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Howard Stupak, M.D.

Title

Owner

Phone

(203) 248-8409

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David I Astrachan, MD

  • Otolaryngology Physician
  • Hamden, CT
  • NPI 1225009046
  NPD (past)
• Rhiannon Bilsborough, AU.D.

  • Audiologist
  • Hamden, CT
  • NPI 1932972841
  NPD (past)
• Kayla Cullen, AU.D., CCC-A

  • Audiologist
  • Hamden, CT
  • NPI 1891424248
  NPD (past)
• Craig S Hecht, MD

  • Otolaryngology Physician
  • Hamden, CT
  • NPI 1558334383
  NPD (past)

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760688402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 WHITNEY AVE",
            "address_2": "SUITE 260",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183691",
            "telephone_number": "203-248-8409",
            "fax_number": "203-281-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WHITNEY AVE",
            "address_2": "SUITE 260",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183691",
            "telephone_number": "203-248-8409",
            "fax_number": "203-281-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CONNECTICUT CENTER FOR FACIAL PLASTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STUPAK",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-248-8409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "043483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1932197852",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Cardiology Group PC
• The Center for Christian Initiative
• The Center for Pediatric and Family Growth
• The Children'S Center of Hamden, Inc.
• The Children'S Center of Hamden, Inc.
• The Lasik Vision Institute LLC
• The Orthopaedic Group, LLC
• Therapeia Lymphedema Center, LLC
• Shahana Lee Theriault, PA-C
• Theric Corporation

• Specialist in Hamden, CT
• Providers in Hamden, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.