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
- 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
317 Foxon Rd
East Haven, CT 06513
Phone (203) 484-9333
Practitioners & affiliated clinicians
Practitioners 39
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- 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
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.