NPIMap

Organization Active NPI

Sutip Kunajukr MD, PC

  • Obstetrics & Gynecology Physician
  • New London, CT
National Provider Identifier
1881839181
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
03091 Issued in CT
Legal business name
SUTIP KUNAJUKR MD, PC
Practice address
496 Ocean Ave
New London, CT 06320-4533
Phone
(860) 447-8932
Fax
(860) 437-1729
NPI assigned
Dec 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Authorized official

Name
Sutip Kunajukr, MDNPI 1881842516
Title
Owner
Phone
(860) 447-8932

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 03091 CT Primary

Addresses

Primary practice location

496 Ocean Ave
New London, CT 06320-4533

Mailing address

496 Ocean Ave
New London, CT 06320-4533
Phone (860) 447-8932

National Provider Directory

National Provider Directory

Locations

496 Ocean Ave
New London, CT 06320
Phone (860) 447-8932

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1881839181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 OCEAN AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204533",
            "telephone_number": "860-447-8932",
            "fax_number": "860-437-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 OCEAN AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204533",
            "telephone_number": "860-447-8932",
            "fax_number": "860-437-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTIP KUNAJUKR MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "KUNAJUKR",
        "authorized_official_first_name": "SUTIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-447-8932",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "03091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.