PRIMED, LLC (NPI# 1215271713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215271713 |
| Entity Type | Organization |
| Organization Name | PRIMED, LLC |
| Practice Address |
4699 Main St Suite 211 Bridgeport CT 06606-1830 |
| Practice Telephone | 2033743464 |
| Practice Fax Number | 2033741020 |
| Mailing Telephone | 2033743464 |
| Mailing Fax Number | 2033741020 |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2012-11-21 |
| Authorized Official Name | AMIT RASTOGI (PRESIDENT) |
| Authorized Official Telephone | 2033746162 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers | ||
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730423468 | Primed, LLC | Podiatrist | 4154 Madison Ave, Trumbull, CT 06611-3563 | 2012-11-19 |
| 1871781047 | Primed, LLC | Durable Medical Equipment & Medical Supplies | 501 Kings Hwy E, Suite 204, Fairfield, CT 06825-4867 | 2007-10-12 |
| Street Address |
4699 MAIN ST SUITE 211 |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-1830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447302 | Paul A. Aiello | Radiology | 4699 Main St, Bridgeport, CT 06606-1830 | 2005-06-16 |
| 1053705061 | North End Dental Associates, PC | Dentist | 4699 Main St, Suite 100, Bridgeport, CT 06606-1830 | 2015-03-27 |
| 1447656079 | Complete Health LLC | Internal Medicine | 4699 Main St, Suite 211, Bridgeport, CT 06606-1830 | 2014-11-10 |
| 1801204375 | Hunter Smart | Dentist | 4699 Main St, Unit 200, Bridgeport, CT 06606-1830 | 2014-07-29 |
| 1487928933 | Reuven Rudich Md PC | Ophthalmology | 4699 Main St, Suite 202, Bridgeport, CT 06606-1830 | 2012-03-01 |
| 1083847172 | Connecticut Dental Gruop, LLC | Dentist | 4699 Main St, Suite 203, Bridgeport, CT 06606-1830 | 2009-08-24 |
| 1629217914 | Alicja Dewera-moczerniuk | Pediatrics | 4699 Main St, Bridgeport, CT 06606-1830 | 2009-02-11 |
| 1306028030 | Donald Joseph Annicelle | Dentist | 4699 Main St, Suite 200, Bridgeport, CT 06606-1830 | 2007-12-05 |
| 1609056944 | Amanda R Coppola | Nurse Practitioner | 4699 Main St, Bridgeport, CT 06606-1830 | 2007-11-04 |
| 1669669073 | Family Health and Wellness Center of Bridgeport, LLC | Clinic/Center | 4699 Main St, Suite 201, Bridgeport, CT 06606-1830 | 2007-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730367558 | Eric A. Levine, Dpm | Podiatrist | 325 Jewett Ave, Bridgeport, CT 06606-2827 | 2008-02-04 |
| 1750507141 | Howard Wayne Harinstein | Podiatrist | 4695 Main Street, Bridgeport, CT 06606-1802 | 2007-04-17 |
| 1396856548 | Mark Alan Schickler | Podiatrist | 2409 Main St, Bridgeport, CT 06606-5324 | 2006-08-31 |
| 1053326488 | Tina Marie Chieco-schwartz | Podiatrist | 2320 Main St, Bridgeport, CT 06606-5373 | 2006-07-31 |
| 1265828818 | Theresa Integral Dy Djama | Podiatrist | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2015-04-10 |
| 1427304146 | Bevan Kurthy Hollingsworth | Podiatrist | 267 Grant St, Bridgeport, CT 06610-2805 | 2012-07-31 |
| 1649566092 | Kristen Mcginness | Podiatrist | 267 Grant St, Bridgeport, CT 06610-2805 | 2011-06-23 |
| 1750680153 | Naomie Legagneur | Podiatrist | 46 Albion St, Bridgeport, CT 06605-2602 | 2011-03-24 |
| 1457526980 | R Daniel Davis & Mark Schickler Family Podiatry Center | Podiatrist | 2409 Main St, Bridgeport, CT 06606-5324 | 2008-04-25 |
| 1043498009 | Howard W Harinstein | Podiatrist | 4695 Main St, Suite 15, Bridgeport, CT 06606-1802 | 2008-02-01 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
Please comment or provide details below to improve the information on PRIMED, LLC.
| 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.