Organization Active NPI

Radiology of Greater New Haven LLC.

  • Diagnostic Radiology Physician
  • Hamden, CT
National Provider Identifier
1811128283
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGY OF GREATER NEW HAVEN LLC.
Practice address
1952 Whitney Ave.
Hamden, CT 06517
Phone
(203) 848-1803
Fax
(203) 848-1777
NPI assigned
Aug 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Margaret Chustecka, MD
Title
MD
Phone
(203) 848-1803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1952 Whitney Ave.
Hamden, CT 06517

Mailing address

1952 Whitney Ave.
Hamden, CT 06517
Phone (203) 848-1803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110406000004 CT Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4880878479 Practice locations: Hamden, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1811128283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 WHITNEY AVE.",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "06517",
            "telephone_number": "203-848-1803",
            "fax_number": "203-848-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 WHITNEY AVE.",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "06517",
            "telephone_number": "203-848-1803",
            "fax_number": "203-848-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY OF GREATER NEW HAVEN LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "CHUSTECKA",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "203-848-1803",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.