Organization Active NPI

Ciardiello, Bonadies & Aversa Surgery Group, P.C.

  • Surgery Physician
  • Hamden, CT
National Provider Identifier
1851576151
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
014180 Issued in CT
Legal business name
CIARDIELLO, BONADIES & AVERSA SURGERY GROUP, P.C.
Practice address
2200 Whitney Ave
Hamden, CT 06518-3691
Phone
(203) 281-7000
NPI assigned
Jan 4, 2008
Last updated
Jun 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Authorized official

Name
Dr. Kenneth A Ciardiello, M.D.
Title
President
Phone
(203) 281-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 014180 CT Primary

Addresses

Primary practice location

2200 Whitney Ave
Hamden, CT 06518-3691

Mailing address

2200 Whitney Ave
Hamden, CT 06518-3691
Phone (203) 281-7000

National Provider Directory

National Provider Directory

Locations

111 Wakelee Ave
Fl 3
Ansonia, CT 06401
Phone (203) 516-5546

2200 Whitney Ave
Ste 220
Hamden, CT 06518
Phone (203) 281-7000

2200 Whitney Ave
Ste 340
Hamden, CT 06518
Phone (203) 281-7000

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1851576151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183691",
            "telephone_number": "203-281-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183691",
            "telephone_number": "203-281-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIARDIELLO, BONADIES & AVERSA SURGERY GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "CIARDIELLO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-281-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CT",
            "license": "014180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.