NPIMap

Organization Active NPI

Connecticut Ear, Nose & Throat, Sinus & Allergy Specialists, P.C.

  • Otolaryngology Physician
  • Waterbury, CT
National Provider Identifier
1881635712
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
CONNECTICUT EAR, NOSE & THROAT, SINUS & ALLERGY SPECIALISTS, P.C.
Practice address
21 W Main St
One Exchange Place BLDG-3Rd Floor
Waterbury, CT 06702-2013
Phone
(203) 574-3777
Fax
(203) 527-4008
NPI assigned
Jun 10, 2006
Last updated
Nov 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Authorized official

Name
Ms. Dana K. Cipriano
Title
Practice Administrator
Phone
(203) 574-3777

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X Primary
Audiologist 231H00000X
Audiologist-Hearing Aid Fitter 237600000X

Addresses

Primary practice location

21 W Main St
One Exchange Place BLDG-3Rd Floor
Waterbury, CT 06702-2013

Mailing address

21 W Main St
One Exchange Place BLDG-3Rd Floor
Waterbury, CT 06702-2013
Phone (203) 574-3777

Other identifiers 2

IdentifierTypeStateIssuer
004194627MedicaidCT
004239077MedicaidCT

Other names 1

  • Lindenman & Schiff Ear, Nose and Throat Specialists, P.C. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041108000682 CT Part B Supplier - Clinic/Group Practice 1052374329 Receives reassigned benefits from 11 practitioners
Practice locations: Waterbury, CT

National Provider Directory

National Provider Directory

Locations

1 Pomperaug Office Park
Ste 202
Southbury, CT 06488
Phone (203) 264-3130

1 Pomperaug Office Park
Ste 204
Southbury, CT 06488
Phone (203) 264-2909

21 W Main St
Waterbury, CT 06702
Phone (203) 317-3333

21 W Main St
Bldg 3RD
Waterbury, CT 06702
Phone (203) 574-3777

21 W Main St
Fl 1
Waterbury, CT 06702
Phone (203) 574-3777

21 W Main St
Fl 3
Waterbury, CT 06702
Phone (203) 574-3777

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1881635712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W MAIN ST",
            "address_2": "ONE EXCHANGE PLACE BLDG-3RD FLOOR",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067022013",
            "telephone_number": "203-574-3777",
            "fax_number": "203-755-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W MAIN ST",
            "address_2": "ONE EXCHANGE PLACE BLDG-3RD FLOOR",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067022013",
            "telephone_number": "203-574-3777",
            "fax_number": "203-527-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT EAR, NOSE & THROAT, SINUS & ALLERGY SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "CIPRIANO",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "203-574-3777",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004194627",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004239077",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lindenman & Schiff Ear, Nose and Throat Specialists, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.