Individual provider Active NPI

Constance Gesina Weismann, M.D.

  • Pediatric Cardiology Physician
  • New Haven, CT
National Provider Identifier
1851552467
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
048822 Issued in CT
Practice address
333 Cedar St
Department of Pediatrics, Yale School of Medicine
New Haven, CT 06510-8064
Phone
(203) 785-2022
NPI assigned
Jun 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 048822 CT Primary
Pediatric Cardiology Physician 2080P0202X AFE99691 CA

Addresses

Primary practice location

333 Cedar St
Department of Pediatrics, Yale School of Medicine
New Haven, CT 06510-8064

Mailing address

333 Cedar St
Department of Pediatrics, Yale School of Medicine
New Haven, CT 06510-8064
Phone (203) 785-2022

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AFE99691CAMDPediatric Cardiology Physician
048822CTMDPediatric Cardiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1851552467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CEDAR ST",
            "address_2": "DEPARTMENT OF PEDIATRICS, YALE SCHOOL OF MEDICINE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065108064",
            "telephone_number": "203-785-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CEDAR ST",
            "address_2": "DEPARTMENT OF PEDIATRICS, YALE SCHOOL OF MEDICINE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065108064",
            "telephone_number": "203-785-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISMANN",
        "first_name": "CONSTANCE",
        "middle_name": "GESINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CT",
            "license": "048822",
            "primary": true
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "AFE99691",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.