Veteran's Affairs

Primary specialty

Military HospitalTaxonomy code 286500000X

License

285345 Issued in NY

Legal business name

VETERAN'S AFFAIRS

Practice address

950 Campbell Ave
Veterans Affairs
West Haven, CT 06516-2770

Phone

(203) 932-5711

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Prim K Wabunoha

Title

LPN

Phone

(203) 562-4510

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811031313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 OLIVE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114932",
            "telephone_number": "203-562-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 CAMPBELL AVE",
            "address_2": "VETERANS AFFAIRS",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065162770",
            "telephone_number": "203-932-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERAN'S AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WABUNOHA",
        "authorized_official_first_name": "PRIM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "203-562-4510",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "NY",
            "license": "285345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Vardaro, LMSW
• Pradeep K Varma, M.D.
• Luz Selenia Vasquez, M.D.
• Vivianna Velazquez, MS, CCC-SLP
• Marla Verdolini-Niland
• Veterans Administration
• Veterans Affairs
• Veterans Healthcare System
• Nicholas Andrew Vissicchio, PH.D.
• Glenn Charles Vitale, D.P.M.

• Military Hospital in West Haven, CT
• Providers in West Haven, CT by specialty
• Military Hospital 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.