Provider Demographics
NPI:1215916085
Name:CENTER FOR ORTHOPAEDICS P.C.
Entity type:Organization
Organization Name:CENTER FOR ORTHOPAEDICS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:H/R - ADMIN.
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-752-3181
Mailing Address - Street 1:2200 WHITNEY AVE
Mailing Address - Street 2:SUITE 140
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-3330
Mailing Address - Country:US
Mailing Address - Phone:203-752-3100
Mailing Address - Fax:203-752-9291
Practice Address - Street 1:60 TEMPLE ST
Practice Address - Street 2:SUITE 3B
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-2716
Practice Address - Country:US
Practice Address - Phone:203-752-3100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-11
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Multi-Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
6448690001Medicare NSC
CTC0118Medicare ID - Type Unspecified