Connecticut Neurosurgical Specialists, P.C.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

026386 Issued in CT

Legal business name

CONNECTICUT NEUROSURGICAL SPECIALISTS, P.C.

Practice address

267 Grant Street
Schine 8
Bridgeport, CT 06610-2805

Phone

(203) 384-4500

Fax

(203) 384-3812

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Kenneth Irwin Lipow, MD

Title

President

Phone

(203) 384-4500

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1902000276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 GRANT STREET",
            "address_2": "SCHINE 8",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102805",
            "telephone_number": "203-384-4500",
            "fax_number": "203-384-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 GRANT STREET",
            "address_2": "SCHINE 8",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102805",
            "telephone_number": "203-384-4500",
            "fax_number": "203-384-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT NEUROSURGICAL SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "LIPOW",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "IRWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-384-4500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CT",
            "license": "026386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001359018",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001263862",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurological Surgery Physician in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Neurological Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.