Manju Aggarwal, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

022229 Issued in CT

Practice address

525 Russell Road
Cedarcrest Hospital Human Resources
Newington, CT 06111

Phone

(860) 666-7621

Fax

(860) 594-4900

NPI assigned

Nov 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Connecticut Addiction Medicine, LLC

  dba Connecticut Addiction Medicine

  • Addiction Psychiatry Physician
  • Rocky Hill, CT
  • NPI 1710312368
  Medicare reassignment
• Anna Gut LLC

  • Psychiatric/Mental Health Registered Nurse
  • Rocky Hill, CT
  • NPI 1174949572
  NPD (past)
• Hartford Physician Services PC

  dba Hartford Medical Group

  • Internal Medicine Physician
  • Hartford, CT
  • NPI 1164404117

  Family Medicine

  NPD (past)
• State of Connecticut

  dba Department of Veterans' Affairs, Veterans Home

  • Skilled Nursing Facility
  • Rocky Hill, CT
  • NPI 1205951662
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952480840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 RUSSELL ROAD",
            "address_2": "CEDARCREST HOSPITAL HUMAN RESOURCES",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "06111",
            "telephone_number": "860-666-7621",
            "fax_number": "860-594-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 RUSSELL ROAD",
            "address_2": "CEDARCREST HOSPITAL HUMAN RESOURCES",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "06111",
            "telephone_number": "860-666-7621",
            "fax_number": "860-594-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGGARWAL",
        "first_name": "MANJU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "022229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Walk-in Medical Center LLC
• Marlena Abbott
• Abundant Life Integrative Medicine LLC
• Dimitri Adamidis, DMD
• Theodore J Adamidis, DMD
• Jemel Aguilar, MSW, PHD
• Joanna Ahern
• Aimee Zagaja LCSW PLLC
• Michael Robert Albert, M.D.
• Douglas A Albreski, DPM

• Family Medicine Physician in Newington, CT
• Providers in Newington, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.