Organization Active NPI

Norwich Pathology Consultants, P.C.

  • Specialist
  • Norwich, CT
National Provider Identifier
1821064379
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
020034 Issued in CT
Legal business name
NORWICH PATHOLOGY CONSULTANTS, P.C.
Practice address
120 Lafayette St
Suite 213
Norwich, CT 06360-2717
Phone
(860) 889-4880
Fax
(860) 886-6262
NPI assigned
Feb 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gowd S. Nagaraj, M.D.
Title
Secretary/Treasurer
Phone
(860) 889-4889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 020034 CT Primary

Addresses

Primary practice location

120 Lafayette St
Suite 213
Norwich, CT 06360-2717

Mailing address

18 Seabury Ave
Ledyard, CT 06339-1319
Phone (860) 464-8422

National Provider Directory

National Provider Directory

Locations

120 Lafayette St
Ste 213
Norwich, CT 06360
Phone (860) 889-4880

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821064379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SEABURY AVE",
            "city": "LEDYARD",
            "state": "CT",
            "postal_code": "063391319",
            "telephone_number": "860-464-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LAFAYETTE ST",
            "address_2": "SUITE 213",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602717",
            "telephone_number": "860-889-4880",
            "fax_number": "860-886-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORWICH PATHOLOGY CONSULTANTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAGARAJ",
        "authorized_official_first_name": "GOWD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "860-889-4889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "020034",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 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.