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: July 19, 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
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

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


The following 20 providers are registered at the same or a nearby location.

Clinic/Center (Sleep Disorder Diagnostic)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
Family Medicine
687 CAMPBELL AVE
WEST HAVEN, CT 06516
Internal Medicine
687 CAMPBELL AVE
WEST HAVEN, CT 06516
Nurse Practitioner (Adult Health)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
Nurse Practitioner (Family)
687 CAMPBELL AVE, WEST HAVEN MEDICAL GROUP
WEST HAVEN, CT 06516
Nurse Practitioner (Family)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
Internal Medicine
687 CAMPBELL AVE
WEST HAVEN, CT 06516
Internal Medicine
687 CAMPBELL AVE
WEST HAVEN, CT 06516
Nurse Practitioner (Acute Care)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
Nurse Practitioner (Family)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
Nurse Practitioner (Family)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
Internal Medicine
687 CAMPBELL AVE
WEST HAVEN, CT 06516
Nurse Practitioner (Family)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
Nurse Practitioner (Adult Health)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
Nurse Practitioner (Family)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
Nurse Practitioner (Adult Health)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
Nurse Practitioner (Family)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
Nurse Practitioner (Women's Health)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
Nurse Practitioner (Adult Health)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
Nurse Practitioner (Adult Health)
687 CAMPBELL AVE
WEST HAVEN, CT 06516

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669623484, enumerated as an "organization" on October 10, 2008.

The provider is located at 687 CAMPBELL AVE WEST HAVEN, CT 06516 and the phone number is (203) 932-6481.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.