Active NPI
Doctors Office CT PLLC
- Internal Medicine Physician
- Cos Cob, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- DOCTORS OFFICE CT PLLC
- Practice address
- 40 E Putnam Ave Ste 1B
Cos Cob, CT 06807-2606 - Phone
- (203) 489-5442
- Fax
- (203) 325-3270
- NPI assigned
- Jun 22, 2018
- 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
- Dr. Joshan K Shajan, MD
- Title
- Manager
- Phone
- (203) 325-2120
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
40 E Putnam Ave Ste 1B
Cos Cob, CT 06807-2606
Mailing address
212 Bible St
Cos Cob, CT 06807-1322
Phone (646) 652-1791
Other practice location 1
90 Morgan St Ste 103
Stamford, CT 06905-5436
Phone (203) 325-2120
Other names 1
- NEW CANAAN URGENT CARE PLLC
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 |
|---|---|---|---|
| 07D0940019 | Doctors Office CT PLLC | Certificate of waiver | Feb 3, 2028 |
| 07D2281938 | Doctors Office CT PLLC | Certificate of waiver | May 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
40 E Putnam Ave
Ste 1B
Cos Cob, CT 06807
Phone (203) 249-5442
90 Morgan St
Ste 103
Stamford, CT 06905
Phone (203) 325-2120
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Cos Cob, CT
- NPI 1790043040
-
- Physician Assistant
- Stamford, CT
- NPI 1366181851
-
- Family Nurse Practitioner
- Cos Cob, CT
- NPI 1780411165
-
- Physician Assistant
- Stamford, CT
- NPI 1336922889
-
- Family Medicine Physician
- Cos Cob, CT
- NPI 1790362630
-
- Family Nurse Practitioner
- Cos Cob, CT
- NPI 1144112004
-
- Family Nurse Practitioner
- Bronx, NY
- NPI 1417784778
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1003493719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684022400000",
"number": "1962997940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 BIBLE ST",
"city": "COS COB",
"state": "CT",
"postal_code": "068071322",
"telephone_number": "646-652-1791",
"fax_number": "888-981-1828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 E PUTNAM AVE STE 1B",
"city": "COS COB",
"state": "CT",
"postal_code": "068072606",
"telephone_number": "203-489-5442",
"fax_number": "203-325-3270"
}
],
"practiceLocations": [
{
"address_1": "90 Morgan St Ste 103",
"address_purpose": "LOCATION",
"city": "Stamford",
"state": "CT",
"postal_code": "069055436",
"country_code": "US",
"telephone_number": "203-325-2120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DOCTORS OFFICE CT PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-22",
"last_updated": "2023-05-14",
"certification_date": "2023-05-14",
"status": "A",
"authorized_official_last_name": "SHAJAN",
"authorized_official_first_name": "JOSHAN",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "203-325-2120",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NEW CANAAN URGENT CARE PLLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Cos Cob, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2023; 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.