G.P. of Hamden, PC.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

G.P. OF HAMDEN, PC.

Doing business as

General Practitioners of Hamden

Practice address

1684 Dixwell Ave
Hamden, CT 06514-3111

Phone

(203) 787-7191

Fax

(203) 777-8919

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Richard R. Slater, M.DNPI 1407960826

Title

President

Phone

(203) 787-7191

Specialties & licenses 1

Addresses

Other names 1

• General Practitioners of Hamden Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

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

CLIA laboratory certificates

Tax ID family

Family Practitioners2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• GP of Hamden, P.C.

  • Family Medicine Physician
  • Hamden, CT
  • NPI 1508057258
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard R Slater, MD

  • Internal Medicine Physician
  • Hamden, CT
  • NPI 1407960826
  Medicare reassignment Care Compare group Authorized official
• Ramani D Yapa, M.D.

  • Adolescent Medicine (Internal Medicine) Physician
  • Hamden, CT
  • NPI 1699713149
  Medicare reassignment Care Compare group
• Jill McEachern, APRN

  • Women's Health Nurse Practitioner
  • Guilford, CT
  • NPI 1053392837
  Medicare reassignment
• Israel SK Mushi, PA-C

  • Medical Physician Assistant
  • Hamden, CT
  • NPI 1538426804
  NPD (past)
• Anand Suresh, MD

  • Diagnostic Radiology Physician
  • Tacoma, WA
  • NPI 1881610418
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1952431066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1684 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065143111",
            "telephone_number": "203-787-7191",
            "fax_number": "203-777-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1684 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065143111",
            "telephone_number": "203-787-7191",
            "fax_number": "203-777-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.P. OF HAMDEN, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "SLATER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-787-7191",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "General Practitioners of Hamden",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Frye, PHARMD
• Daniel Lee Fudge, PH.D.
• Carlee Fuller
• Casey J Fusco
• Thomas Fynan, MD
• Beth Gaillard, LCSW
• Karen Galvin, PT/MPT
• Raymond J. Gambardella, DMD
• Taires Gamble
• Gambrell Behavioral Health Services, LLC

• Health Service Clinic/Center in Hamden, CT
• Providers in Hamden, CT by specialty
• Health Service Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.