Active NPI
Laurentiu P Galan, MD
- Pediatrics Physician
- Norwich, CT
National Provider Identifier
1780680884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 035967
- Practice address
- 119 Sachem St
Norwich, CT 06360-4128 - Phone
- (860) 885-0666
- Fax
- (860) 885-1158
- NPI assigned
- Jun 23, 2005
- Reactivated
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 035967 | CT | Primary |
Addresses
Primary practice location
119 Sachem St
Norwich, CT 06360-4128
Mailing address
119 Sachem St
Norwich, CT 06360-4128
Phone (860) 885-0666
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227401 | Other | CT | PREFERRED ONE |
| 2V4756 | Other | CT | HEALTHNET |
| 750244 | Other | CT | CONNECTICARE |
| 3457232 | Other | CT | AETNA |
| P3239776 | Other | CT | OXFORD |
| 2316305 | Other | CT | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035967 | CT | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780680884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 SACHEM ST",
"city": "NORWICH",
"state": "CT",
"postal_code": "063604128",
"telephone_number": "860-885-0666",
"fax_number": "860-885-1158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 SACHEM ST",
"city": "NORWICH",
"state": "CT",
"postal_code": "063604128",
"telephone_number": "860-885-0666",
"fax_number": "860-885-1158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALAN",
"first_name": "LAURENTIU",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2007-07-08",
"deactivation_date": "2006-03-16",
"reactivation_date": "2006-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "035967",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "227401",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2V4756",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "750244",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3457232",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3239776",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2316305",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.