DANIEL BENJAMIN LAX (NPI# 1205254075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205254075 |
| Entity Type | Individual |
| Full Name | DANIEL BENJAMIN LAX |
| Credential | MD |
| Practice Address |
4 Corporate Dr Ste 484 Shelton CT 06484-6241 |
| Mailing Address |
67 Maple Ave Derby CT 06418-1328 |
| Practice Telephone | 2039449898 |
| Mailing Telephone | 2037321256 |
| Mailing Fax Number | 2037321539 |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 64021 | CT | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 293023-1 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18 Rebel Run Dr, East Brunswick, NJ 088162638 | 7322386746 | |
| 1650 Grand Concourse, Bronx, NY 104577606 | 7185901800 | |
| 300 Seymour Ave, Suite 102, Derby, CT 064181343 | 2035165303 | 2037328136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285058016 | Daniel Lax | Respiratory Therapist, Registered | 6500 Woodley Ave Unit B, Van Nuys, CA 91406-6491 | 2014-02-14 |
| 1356736771 | Daniel Noam Lax | Student in an Organized Health Care Education/Training Program | 111 East 210th Street, Bronx, NY 10467-2401 | 2015-04-02 |
| Street Address |
4 CORPORATE DR STE 484 |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-6241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
| 1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
| 1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
| 1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
| 1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
| 1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
| Find all providers in zip 06484 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013276716 | Ashbel G. Gulliver Jr Jr. | Obstetrics & Gynecology | 415 Howe Avenue, Shelton, CT 06484 | 2012-05-15 |
| 1427087980 | Scott Alan Vander Vennet | Obstetrics & Gynecology | 2 Ivy Brook Rd Ste 125, Shelton, CT 06484-6416 | 2006-06-30 |
| 1104189711 | Andrea N Martin | Obstetrics & Gynecology | 2300 Kati Ct, Suite C, Shelton, WA 98584-1900 | 2012-06-19 |
| 1235278177 | Jonathan A Gold | Obstetrics & Gynecology | 2300 Kati Ct, Suite A, Shelton, WA 98584-1900 | 2007-02-06 |
| 1194801597 | Elizabeth A. Carder | Obstetrics & Gynecology | 901 Mountain View Dr, Shelton, WA 98584-4401 | 2006-10-27 |
| 1164503017 | Jonathan A Gold | Obstetrics & Gynecology | 2300 Kati Ct, Shelton, WA 98584-1900 | 2006-10-18 |
| 1891723995 | Michael O'reilly | Obstetrics & Gynecology | 4 Corporate Dr, Suite # 484, Shelton, CT 06484-6211 | 2006-06-28 |
| 1366488256 | Dorothy Gutwein | Obstetrics & Gynecology | 4 Corporate Dr, Suite #484, Shelton, CT 06484-6211 | 2006-06-21 |
| 1669468534 | Rachel Adelia Lim Leonardi | Obstetrics & Gynecology | 4 Corporate Dr, Suite 484, Shelton, CT 06484-6211 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336658186 | Amy Frassetto | Obstetrics & Gynecology | 40 Robinwood Rd, Trumbull, CT 06611-4924 | 2017-09-25 |
| 1447770417 | Barbara Lynn Tendler | Obstetrics & Gynecology | 25 River Rd Apt 5101, Wilton, CT 06897-4085 | 2017-06-21 |
| 1528506516 | William P Guinan, Md and Associates LLC | Obstetrics & Gynecology | 25 Oakland Road, South Windsor, CT 06074 | 2017-02-09 |
| 1669822607 | Tania Plaisimond | Obstetrics & Gynecology | 761 Main Ave Ste 100, Norwalk, CT 06851-1080 | 2016-06-21 |
| 1720435092 | Eric Han | Obstetrics & Gynecology | 100 West Campus Drive, Orange, CT 06477 | 2016-05-17 |
| 1093179624 | Jessica Lovesky | Obstetrics & Gynecology | 85 Seymour St Ste 1019, Hartford, CT 06106-5530 | 2016-04-10 |
| 1164895314 | Naugatuck Valley Womens Health Specialists PC | Obstetrics & Gynecology | 686 Straits Turnpike, 2a, Middlebury, CT 06762 | 2015-11-10 |
| 1205218682 | Rui Wang | Obstetrics & Gynecology | 85 Seymour St Ste 525, Hartford, CT 06106-5525 | 2015-06-23 |
| 1164803003 | Ashley Rachelle Christensen | Obstetrics & Gynecology | 5520 Park Ave Ste 302, Trumbull, CT 06611-3466 | 2015-06-16 |
| 1578959086 | Tanya Glenn | Obstetrics & Gynecology | 333 Cedar St Ste 302, New Haven, CT 06510-3206 | 2015-04-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.