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WEST HAVEN MEDICAL GROUP, LLC
NPI 1669623484
Nurse Practitioner in West Haven, CT

Active since October 10, 2008
687 CAMPBELL AVE, WEST HAVEN, CT 06516(203) 932-6481(203) 932-4051 Get Directions Write a Review

NPPES record last updated: October 10, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About West Haven Medical Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEST HAVEN MEDICAL GROUP, LLC (NPI 1669623484) is a healthcare organization registered as a nurse practitioner in West Haven, Connecticut and active in the NPI registry since October 2008. The organization lists Benedict L Fernando, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1669623484
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameWEST HAVEN MEDICAL GROUP, LLC
Location Address687 CAMPBELL AVEWest Haven, CT 06516-3774
Mailing Address687 Campbell AveWest Haven, CT 06516-3774 · (203) 932-6481 · Fax (203) 932-4051
Phone(203) 932-6481
Fax(203) 932-4051
Organization SubpartYes
Authorized OfficialBenedict L FernandoManaging Partner · (203) 932-6481
Enumeration DateOctober 10, 2008
✔ NPI 1669623484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
687 CAMPBELL AVE, West Haven, CT 06516
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Other Identifiers 2

Medicare PINC02370CT
Medicaid004250833CT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLUTOYIN ADESOLA APRN
Nurse Practitioner (Family)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-6481
ODETH ALICIA HYLTON APRN
Nurse Practitioner (Adult Health)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-6481
NEELAM NARULA NP
Nurse Practitioner (Family)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-6481
MRS. JOYAMMA MATHEW
Nurse Practitioner (Adult Health)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-6481
JANICE M. THOMPSON APRN
Nurse Practitioner (Adult Health)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-6481
KUMUDHINI FERNANDO M.D.
Family Medicine
687 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-6481
MRS. LISA S. ALEXANDER NP
Nurse Practitioner (Acute Care)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-6481
DR. EDWARD PRIOR M.D.
Internal Medicine
687 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-6481

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is West Haven Medical Group, LLC's NPI number?

The NPI number for West Haven Medical Group, LLC is 1669623484. It was assigned to this organization in the NPPES registry on October 10, 2008.

Where is West Haven Medical Group, LLC located?

West Haven Medical Group, LLC is located at 687 Campbell Ave, West Haven, CT 06516. The listed phone number is (203) 932-6481.

What is West Haven Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for West Haven Medical Group, LLC was last updated on October 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.