Active NPI
CT Medical Group Inc.
- Family Medicine Physician
- East Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CT MEDICAL GROUP INC.
- Practice address
- 317 Foxon Rd
East Haven, CT 06513-2038 - Phone
- (203) 529-3271
- NPI assigned
- Feb 2, 2024
- Last updated
- Feb 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jasdeep Sidana, MD
- Title
- Officer/Owner
- Phone
- (646) 321-2626
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
317 Foxon Rd
East Haven, CT 06513-2038
Mailing address
317 Foxon Rd
East Haven, CT 06513-2038
Phone (203) 529-3271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D2111550 | CT Medical Group Inc - East Haven | Certificate of waiver | Apr 10, 2028 |
National Provider Directory
National Provider DirectoryLocations
525 Tunxis Hill Cut Off
Fairfield, CT 06825
Phone (203) 557-8200
677 Connecticut Ave
Norwalk, CT 06854
Phone (203) 298-9753
983 New Britain Ave
West Hartford, CT 06110
Phone (860) 785-5478
Practitioners & affiliated clinicians
Practitioners 39
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.
-
- Pulmonary Disease Physician
- Orange, CT
- NPI 1558482075
-
- Physician Assistant
- East Haven, CT
- NPI 1295627503
-
- Family Nurse Practitioner
- Orange, CT
- NPI 1013892827
-
- Family Nurse Practitioner
- Bridgeport, CT
- NPI 1336938273
-
- Family Nurse Practitioner
- North Haven, CT
- NPI 1033966023
-
- Family Nurse Practitioner
- Bethel, CT
- NPI 1134747900
-
- Physician Assistant
- New Haven, CT
- NPI 1053562926
-
- Family Nurse Practitioner
- Fairfield, CT
- NPI 1851879191
-
- Family Nurse Practitioner
- New Britain, CT
- NPI 1730842915
-
- Internal Medicine Physician
- Manchester, CT
- NPI 1942484084
-
- Allergy & Immunology Physician
- Milford, CT
- NPI 1366484123
-
- Family Nurse Practitioner
- Torrington, CT
- NPI 1225534266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706832000000",
"number": "1962265934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 FOXON RD",
"city": "EAST HAVEN",
"state": "CT",
"postal_code": "065132038",
"telephone_number": "203-529-3271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 FOXON RD",
"city": "EAST HAVEN",
"state": "CT",
"postal_code": "065132038",
"telephone_number": "203-529-3271"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CT MEDICAL GROUP INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-02",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A",
"authorized_official_last_name": "SIDANA",
"authorized_official_first_name": "JASDEEP",
"authorized_official_title_or_position": "OFFICER/OWNER",
"authorized_official_telephone_number": "646-321-2626",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Haven, CT
- Connecticut CVS Pharmacy, L.L.C. (CVS Pharmacy#01968)
- Connecticut Podiatry Group,P.C.
- Connecticut Vision Center, LLC
- Jonathan M. Crisci, PHYSICIAN ASSOCIATE
- Samantha M Cronin, LCSW
- CT TMJ and Sleep Center LLC
- CT Urgent Care Inc
- Rosa C Cuadrado, LMSW
- Joyce Maria D'Silva, PHARMD
- Lindsey Erin Dagata, MS, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.