Robert Raphael Toscano, M.D.

Individual provider Active NPI Pediatric Adolescent Medicine Physician · Weatogue, CT

NPI 1841209657 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1841209657
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Adolescent Medicine Physician 2080A0000X
License
025793 (CT)
Practice address
33 Canal St
Weatogue, CT 06089-9605
Phone
(860) 658-1058
Fax
(860) 658-1819
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
025793CTMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unionville Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15841/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 025793 CT Yes

Addresses

Primary practice location

33 Canal St
Weatogue, CT 06089-9605

Mailing address

33 Canal St
Weatogue, CT 06089-9605
Phone (860) 658-1058

Other identifiers

IdentifierTypeStateIssuer
010025793CT04OtherCTBLUE CROSS
CONNECTICAREOtherCT795600
HEALTHNETOtherCTOP0414
OXFORDOtherCTHAP379
0521793OtherCTAETNA
CIGNAOtherCT0611956000004

Other providers in Weatogue, CT

All providers in Weatogue, CT · Pediatric Adolescent Medicine Physician in Connecticut

Sources for this page

Verify at the official NPI Registry.