Organization Active NPI

West Haven VA Healthcare System

  • General Acute Care Hospital
  • West Haven, CT
National Provider Identifier
1841605581
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
2914 Issued in CT
Legal business name
WEST HAVEN VA HEALTHCARE SYSTEM
Practice address
950 Campbell Avenue
West Haven, CT 06516
Phone
(203) 932-5711
NPI assigned
Jun 20, 2014
Last updated
Jun 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Authorized official

Name
Dr. Nancy Shenouda-Awad, O.D.
Title
Staff Optometrist
Phone
(203) 932-5711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 2914 CT Primary

Addresses

Primary practice location

950 Campbell Avenue
West Haven, CT 06516

Mailing address

984 S Oxford Ave
Apt 102
Los Angeles, CA 90006-1168
Phone (310) 279-6124

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1841605581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 S OXFORD AVE",
            "address_2": "APT 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900061168",
            "telephone_number": "310-279-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 CAMPBELL AVENUE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "06516",
            "telephone_number": "203-932-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST HAVEN VA HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "SHENOUDA-AWAD",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "STAFF OPTOMETRIST",
        "authorized_official_telephone_number": "203-932-5711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CT",
            "license": "2914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.