Sanjay K Aggarwal, M.D
Individual provider Active NPI Internal Medicine Physician · New Haven, CT
NPI 1912927658 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1912927658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 036883 (CT)
- Practice address
- 1427 Chapel St
New Haven, CT 06511-4403 - Phone
- (203) 865-3880
- Fax
- (203) 624-5609
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanjay Aggarwal
Genesis Medica LLC
Practice addresses (Care Compare)
1327 Meriden Rd
Wolcott, CT 06705-3630
Phone (475) 224-6871
889 Bridgeport Ave
Milford, CT 06460-3139
Phone (203) 693-2230
Hospital & facility affiliations
- Yale New Haven Health - Health at Home
- Connecticut Hospice Inc, the
- Griffin Hospital
- Yale-New Haven Hospital
- Autumn Lake Healthcare at the Willows
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041130000258 | CT | Practitioner - Internal Medicine | 9335104504 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036883 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Medica LLC | Internal Medicine | Current |
Accepting new patients |
| Sanjay Aggarwal | Internal Medicine | Current |
Accepting new patients |
| Continuum Medical Group, LLC | Past |
Accepting new patients | |
| Zen Health and Wellness, LLC | Past |
Accepting new patients |
Locations
889 Bridgeport Ave
Milford, CT 06460
Phone (203) 693-2230
247 Broad St
Ste 1G
Milford, CT 06460
1427 Chapel St
New Haven, CT 06511
Phone (203) 553-7951
1327 Meriden Rd
Wolcott, CT 06705
Phone (475) 224-6766
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FFDCBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036883 | CT | Yes |
Addresses
Primary practice location
1427 Chapel St
New Haven, CT 06511-4403
Mailing address
1427 Chapel St
New Haven, CT 06511-4403
Phone (203) 865-3880
Other providers in New Haven, CT
- Sonal K Agarwal
- Doreen Agboh
- Agency on Aging of South Central CT, Inc.
- Neil Krishan Aggarwal
- Raina Aggarwal
- Elizabeth Mary Agneta
- Joseph Valentino Agostini
- Lissette M Agosto
- Anjali Agrawal
- Payal Pradipkumar Agrawal
All providers in New Haven, CT · Internal Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.