JONATHAN MOGEN (NPI# 1932496619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932496619 |
| Entity Type | Individual |
| Full Name | JONATHAN MOGEN |
| Credential | M.D. |
| Practice Address |
80 Seymour St Hartford CT 06102-8000 |
| Mailing Address |
800 Washington St Boston MA 02111-1552 |
| Practice Telephone | 8609722864 |
| Mailing Telephone | 6176365000 |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2017-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
269163 | MA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
052280 | CT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
80 SEYMOUR ST |
| City | HARTFORD |
| State | CT |
| Zip Code | 06102-8000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942207394 | Avinash Prasad | Psychiatry & Neurology | 80 Seymour St, Hartford Hospital Neurology Dept, Hartford, CT 06102-8000 | 2005-06-30 |
| 1215535935 | Lataya Hewitt | Nurse Practitioner | 80 Seymour St, Hartford, CT 06106-3315 | 2020-10-14 |
| 1629685938 | Nicole Martina | Nurse Practitioner | 80 Seymour St, Hartford, CT 06106-3315 | 2020-09-30 |
| 1477168011 | Cassidy Goodwin | Nurse Practitioner | 80 Seymour St, Hartford, CT 06102-8000 | 2020-09-10 |
| 1215541933 | Molly Zarnick | Speech-Language Pathologist | 80 Seymour St, Hartford, CT 06106-3300 | 2020-09-01 |
| 1306457320 | Taylor Merrick | Physician Assistant | 80 Seymour St, Hartford, CT 06102-8000 | 2020-08-13 |
| 1538770474 | Carlyn Esposito | Registered Nurse | 80 Seymour St, Hartford, CT 06106-3315 | 2020-08-13 |
| 1679184121 | Kimberly M Davis | Nurse Anesthetist, Certified Registered | 80 Seymour St, Hartford, CT 06106-3315 | 2020-08-10 |
| 1679182109 | Elsayed Elsayed Hassan Ibrahim | Student in an Organized Health Care Education/Training Program | 80 Seymour St, Hartford, CT 06102-8000 | 2020-07-30 |
| 1780292615 | Jordan Steven Totaro | Student in an Organized Health Care Education/Training Program | 80 Seymour St, Hartford, CT 06106-3315 | 2020-07-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144843616 | Michael Skolnick | Registered Nurse | West Grad Building, Institute of Living, 200 Retreat Ave, Hartford, CT 06102 | 2020-05-19 |
| 1942734058 | Giorgi Kveladze | Internal Medicine | 80 Seymour St. Hospitalist Devision, Hartford, CT 06102 | 2017-04-14 |
| 1902352248 | Safina Hafeez | Student in an Organized Health Care Education/Training Program | 80 Seymour Street Hartford Hospital, 3rd Floor Pathology, Hartford, CT 06102 | 2016-08-28 |
| 1154774990 | Neelam Khetpal | Internal Medicine | 80 Seymour St Bldg 502, Hartford, CT 06102 | 2016-07-17 |
| 1588073613 | Gene Pershwitz | Internal Medicine | 80 Seymour St Dept Jb704, Hartford, CT 06102 | 2014-08-02 |
| 1831503101 | Sarah Meira Benchaya | Psychiatry & Neurology | 80 Seymour Street #jb 604, Hartford, CT 06102 | 2014-06-16 |
| 1255742326 | Stephanie Felicia Alessi-larosa | Psychiatry & Neurology | 80 Seymour St. Jb 604, University of Connecticut/hartford Hospital, Hartford, CT 06102 | 2014-05-12 |
| 1619219219 | Hartford Hospital | Psychiatric Hospital | 200 Retreat St, Institute of Living, Hartford, CT 06102 | 2013-03-21 |
| 1548271141 | Pasquale F Finelli | Psychiatry & Neurology | 80 Seymour Street, Jb Suite 604, Hartford Hospital Neurology Dept., Hartford, CT 06102 | 2006-08-10 |
| 1265474340 | Gary Francis Nobert | Obstetrics & Gynecology | Hartford Hospital Ob Gyn Dept, 80 Seymour Street, Hartford, CT 06102 | 2006-06-12 |
| Find all providers in zip 06102 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285763169 | Anu Bansal | Radiology | 85 Seymour St, Ste. 200, Hartford, CT 06106-5501 | 2007-03-05 |
| 1891701777 | David L Zimmerman | Radiology | 85 Seymour St Ste 200, Hartford, CT 06106-5509 | 2006-07-31 |
| 1225014731 | Ethan B. Foxman | Radiology | 85 Seymour St, Suite 200, Hartford, CT 06106-5501 | 2005-12-16 |
| 1245216761 | Richard L. Goldman | Radiology | 85 Seymour St, Suite 200, Hartford, CT 06106-5501 | 2005-12-16 |
| 1447235445 | Alan R. Butler | Radiology | 85 Seymour St, Suite 200, Hartford, CT 06106-5501 | 2005-12-13 |
| 1497741458 | Michael T. Twohig | Radiology | 114 Woodland St, Radiology Department, Hartford, CT 06105-1208 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457891434 | Kessler Medical LLC | Radiology | 6 Business Park Dr Ste 103, Branford, CT 06405-2988 | 2017-02-24 |
| 1386678290 | Mahadevan Shetty | Radiology | 385 Main St S, C/o Nvra Union Square Bldg#1, Southbury, CT 06488-4240 | 2006-07-10 |
| 1295700920 | Marc Ronald Hamet | Radiology | 20 Dialstone Ln, Riverside, CT 06878-1701 | 2006-02-17 |
| 1457846701 | Rasha Tarek Safyeldin Ismail | Radiology | 267 Grant St, Bridgeport, CT 06610-2805 | 2018-06-28 |
| 1508285479 | Sean Aaron Lisse | Radiology | 333 Cedar St Rm Te2, Ynhh Department of Radiology, New Haven, CT 06510-3206 | 2014-04-08 |
| 1649612763 | Anthony Abou Karam | Radiology | 20 York St, New Haven, CT 06510 | 2013-07-18 |
| 1790125441 | Steven Clerc | Radiology | 20 York Street, Neuroradiology, New Haven, CT 06510-3220 | 2013-06-26 |
| 1801139670 | Vivek Patel | Radiology | 20 York St, New Haven, CT 06510 | 2013-03-30 |
| 1871850438 | Simon Peter Onderi | Radiology | 20 York St, New Haven, CT 06510 | 2012-04-19 |
| 1851683650 | Seyedmehdi Payabvash | Radiology | 333 Cedar St # Te2, New Haven, CT 06510 | 2011-05-11 |
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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.