NPIMap

Organization Active NPI

Sanitas of Connecticut LLC

  • Family Medicine Physician
  • Bridgeport, CT
National Provider Identifier
1811486343
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SANITAS OF CONNECTICUT LLC
Practice address
4551 Main St
Bridgeport, CT 06606-1818
Phone
(203) 290-3800
NPI assigned
May 10, 2018
Organization subpart
Yes
Parent organization
SANITAS OF CONNECTICUT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Authorized official

Name
Alberto Darsa
Title
Cfo
Phone
(305) 470-2948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4551 Main St
Bridgeport, CT 06606-1818

Mailing address

4551 Main St
Bridgeport, CT 06606-1818
Phone (203) 290-3800

Other names 1

  • Sanitas Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sanitas of Connecticut LLC5 organizations share this tax ID, including this one
Part of
Sanitas of Connecticut LLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4551 Main St
Bridgeport, CT 06606
Phone (203) 290-3800

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1811486343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4551 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061818",
            "telephone_number": "203-290-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4551 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061818",
            "telephone_number": "203-290-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANITAS OF CONNECTICUT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANITAS OF CONNECTICUT LLC",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "DARSA",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "305-470-2948"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanitas Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanitas Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.