1679663389 NPI number — LOUIS A CHAPTINI MD

Table of content: LOUIS A CHAPTINI MD (NPI 1679663389)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679663389 NPI number — LOUIS A CHAPTINI MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHAPTINI
Provider First Name:
LOUIS
Provider Middle Name:
A
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679663389
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/10/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
40 TEMPLE ST
Provider Second Line Business Mailing Address:
SUITE 1A
Provider Business Mailing Address City Name:
NEW HAVEN
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06510-2715
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-785-4138
Provider Business Mailing Address Fax Number:
203-785-1345

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
40 TEMPLE ST
Provider Second Line Business Practice Location Address:
SUITE 1A
Provider Business Practice Location Address City Name:
NEW HAVEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06510-2715
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-785-4138
Provider Business Practice Location Address Fax Number:
203-785-1345
Provider Enumeration Date:
10/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , with the licence number:  MA074833 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RG0100X , with the licence number: C10007588 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RG0100X , with the licence number: 51164 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1000038356 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 60020751 . This is a "HORIZON NJ HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1000036078 . This is a "DELAWARE PHYSICIANS CARE" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 1090945 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2595018 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 43276 . This is a "UNIVERSITY HEALTHPLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: P3667775 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 010007755 . This is a "AMERICHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2621385000 . This is a "AMERIHEALTH, KEYSTONE, IBC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2723048000 . This is a "AMERIHEALTH OF DELAWARE" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: P000264298 . This is a "RR MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0080918 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1783953 . This is a "AMERIHEALTH PPO, PA BS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 50588 . This is a "CHRISTIANA HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7120283 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3K6073 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".




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