NPIMap

Organization Active NPI

New London Cancer Center, P.C

  • Durable Medical Equipment & Medical Supplies
  • Waterford, CT
National Provider Identifier
1952344004
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NEW LONDON CANCER CENTER, P.C
Practice address
196 Parkway S
Suite 303
Waterford, CT 06385-1219
Phone
(860) 443-4455
Fax
(860) 447-8961
NPI assigned
Jun 14, 2006
Organization subpart
Yes
Parent organization
NEW LONDON CANCER CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Dr. Mithlesh Govil, M.D.
Title
Physician/Owner
Phone
(860) 443-4455

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X
Durable Medical Equipment & Medical Supplies 332B00000X CT Primary

Addresses

Primary practice location

196 Parkway S
Suite 303
Waterford, CT 06385-1219

Mailing address

196 Parkway S
Suite 304
Waterford, CT 06385-1234
Phone (860) 442-7027

Other names 1

  • New London Cancer Center, Inc Former legal business name

National Provider Directory

National Provider Directory
Part of
New London Cancer Ctr I

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1952344004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 PARKWAY S",
            "address_2": "SUITE 304",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851234",
            "telephone_number": "860-442-7027",
            "fax_number": "860-444-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 PARKWAY S",
            "address_2": "SUITE 303",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851219",
            "telephone_number": "860-443-4455",
            "fax_number": "860-447-8961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LONDON CANCER CENTER, P.C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW LONDON CANCER CENTER, INC",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "GOVIL",
        "authorized_official_first_name": "MITHLESH",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "860-443-4455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New London Cancer Center, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Waterford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.