Organization Active NPI

Connecticut Oncology&Hematology, LLP

  • Clinical Medical Laboratory
  • Torrington, CT
National Provider Identifier
1992737449
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CONNECTICUT ONCOLOGY&HEMATOLOGY, LLP
Practice address
200 Kennedy Dr
Torrington, CT 06790-3096
Phone
(860) 482-5384
Fax
(860) 496-4951
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Ivan Stephen Lowenthal, M.D.
Title
General Partner
Phone
(860) 482-5384

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X
Medical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RX0202X
Nuclear Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207U00000X
Clinical Medical Laboratory 291U00000X Primary
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X 003622 CT
Oncology Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SX0200X

Addresses

Primary practice location

200 Kennedy Dr
Torrington, CT 06790-3096

Mailing address

200 Kennedy Dr
Torrington, CT 06790-3096
Phone (860) 482-5384

Other identifiers 3

IdentifierTypeStateIssuer
004049763MedicaidCT
008002184MedicaidCT
CD0030OtherPALMETTO GBA-RR RETIREMENT

National Provider Directory

National Provider Directory

Locations

755 Campbell Ave
West Haven, CT 06516
Phone (203) 882-9608

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1992737449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 KENNEDY DR",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903096",
            "telephone_number": "860-482-5384",
            "fax_number": "860-496-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 KENNEDY DR",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903096",
            "telephone_number": "860-482-5384",
            "fax_number": "860-496-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT ONCOLOGY&HEMATOLOGY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "LOWENTHAL",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "860-482-5384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CT",
            "license": "003622",
            "primary": false
        },
        {
            "code": "364SX0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004049763",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008002184",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA-RR RETIREMENT",
            "identifier": "CD0030",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.