Active NPI
New Horizon Healthcare, LLC
- Physician Assistant
- Branford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Legal business name
- NEW HORIZON HEALTHCARE, LLC
- Practice address
- 250 W Main St
Branford, CT 06405-4032 - Phone
- (203) 433-8036
- NPI assigned
- Feb 12, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Theodora Fraser-McPherson
- Title
- Owner
- Phone
- (203) 433-8036
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
250 W Main St
Branford, CT 06405-4032
Mailing address
250 W Main St
Branford, CT 06405-4032
Phone (203) 433-8036
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3310 | Other | CT | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | BRANFORD |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D2219036 | New Horizon Healthcare LLC | Certificate of waiver | Mar 31, 2027 |
National Provider Directory
National Provider DirectoryLocations
250 W Main St
Branford, CT 06405
Phone (203) 433-8036
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- New Haven, CT
- NPI 1992192827
-
- Professional Counselor
- Branford, CT
- NPI 1326759903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581465600000",
"number": "1902439433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 W MAIN ST",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064054032",
"telephone_number": "203-433-8036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 W MAIN ST",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064054032",
"telephone_number": "203-433-8036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW HORIZON HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-12",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A",
"authorized_official_last_name": "FRASER-MCPHERSON",
"authorized_official_first_name": "THEODORA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-433-8036"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "3310",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "BRANFORD",
"affiliation": "N",
"address_1": "250 W Main St",
"city": "Branford",
"state": "CT",
"country_code": "US",
"postal_code": "064054032",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Branford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.