Medical Oncology & Hematology

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLP0L0401 Issued in CT

Legal business name

MEDICAL ONCOLOGY & HEMATOLOGY

Doing business as

Diagnostic Hematology Lab

Practice address

111 Goose Lane
Suite 1300
Guilford, CT 06437

Phone

(203) 453-9192

Fax

(203) 453-0875

NPI assigned

Oct 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia A Waranowicz

Title

Ceo

Phone

(203) 389-7504

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Diagnostic Hematology Lab Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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.

• Sarah L Curtis, PA-C

  • Medical Physician Assistant
  • Guilford, CT
  • NPI 1124485529
  NPD (past)
• Elan Gorshein, DO, JD, MPH

  • Hematology & Oncology Physician
  • Guilford, CT
  • NPI 1821364019
  NPD (past)
• Kay Haedicke, MD

  • Hematology & Oncology Physician
  • Guilford, CT
  • NPI 1922047810
  NPD (past)
• Wajih Zaheer Kidwai, MD

  • Hematology & Oncology Physician
  • Guilford, CT
  • NPI 1376579946
  NPD (past)
• Su Hsien Lim, MD

  • Medical Oncology Physician
  • Guilford, CT
  • NPI 1639347297
  NPD (past)
• Komal Dilipkumar Patel, FNP-C

  • Family Nurse Practitioner
  • Guilford, CT
  • NPI 1740647676
  NPD (past)
• Elaine Begley, PA

  • Medical Physician Assistant
  • Brandon, FL
  • NPI 1982644308
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922195262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LUNAR DRIVE",
            "address_2": "MEDICAL ONCOLOGY AND HEMATOLOGY PC",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "06525",
            "telephone_number": "203-389-7504",
            "fax_number": "203-389-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 GOOSE LANE",
            "address_2": "SUITE 1300",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "06437",
            "telephone_number": "203-453-9192",
            "fax_number": "203-453-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ONCOLOGY & HEMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARANOWICZ",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-389-7504",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CT",
            "license": "CLP0L0401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUBLIC HEALTH DEPT LICENS",
            "identifier": "CLP0L0401",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diagnostic Hematology Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bryce E McManus, DC
• Kathleen A. McManus, D.C.
• Erica McMillian, APRN
• Joseph Michael McNamara, MD
• Bridget Elise Meadow, APRN
• Meg Rose, Ms, LCSW, LLC
• Megan Warner PHD LLC (Guilford Psychological Services)
• Tobie Meisel, JD,LCSW
• Tara Melaccio, OTR/L
• Manal Mena, DC

• Clinical Medical Laboratory in Guilford, CT
• Providers in Guilford, CT by specialty
• Clinical Medical Laboratory in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.