NEMG GASTROENTEROLOGY LLC (NPI# 1558748996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558748996 |
| Entity Type | Organization |
| Organization Name | NEMG GASTROENTEROLOGY LLC |
| Other Organization Name | FAIRFIELD COUNTY ENDOSCOPY CENTER |
| Practice Address |
888 White Plains Rd Suite 210 Trumbull CT 06611-4552 |
| Practice Telephone | 2032681193 |
| Practice Fax Number | 2032684009 |
| Mailing Telephone | 2032681193 |
| Mailing Fax Number | 2032684009 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2016-03-21 |
| Authorized Official Name | DR. EDWIN G LEVINE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2032681193 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHEAST MEDICAL GROUP, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0347 | CT | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fairfield County Endoscopy Center | Former Legal Business Name - Organization |
| Street Address |
888 WHITE PLAINS RD SUITE 210 |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-4552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093703522 | Anita J Eisenhauer | Specialist | 888 White Plains Rd, Trumbull, CT 06611-4552 | 2005-10-10 |
| 1831749753 | Christine Valente | Physical Therapist | 888 White Plains Rd, Trumbull, CT 06611-4552 | 2019-09-12 |
| 1093273823 | Tara Jill Babushkin | Dentist | 888 White Plains Rd, Trumbull, CT 06611-4552 | 2019-03-11 |
| 1881100634 | Michael Victor Dias | Specialist/Technologist | 888 White Plains Rd, Trumbull, CT 06611-4552 | 2017-12-15 |
| 1194274746 | Kaitlyn Nadler | Specialist/Technologist | 888 White Plains Rd, Trumbull, CT 06611-4552 | 2016-09-23 |
| 1922552991 | Jenna Rousso | Specialist/Technologist | 888 White Plains Rd, Trumbull, CT 06611-4552 | 2016-08-08 |
| 1366848228 | Erika Schramm | Physical Therapist | 888 White Plains Rd, Trumbull, CT 06611-4552 | 2014-11-05 |
| 1952719965 | Benjamin George Barnes | Chiropractor | 888 White Plains Rd, Trumbull, CT 06611-4552 | 2014-07-23 |
| 1538455670 | Timothy Holzhauer | Dentist | 888 White Plains Rd, Trumbull, CT 06611-4552 | 2011-06-28 |
| 1033439039 | Neil T Specht, Md, LLC | Radiology | 888 White Plains Rd, Suite 206, Trumbull, CT 06611-4552 | 2010-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153326 | Justin Elijah Brantley | Physical Therapist | 888 White Plains Road Suite 209, Trumbull, CT 06611 | 2020-01-14 |
| 1184135733 | Stephen Graham | Speech-Language Pathologist | 126 Monroe Turnpike Suite #210, Trumbull, CT 06611 | 2017-10-22 |
| 1891214458 | Rachel Lopes | Social Worker | 132 Monroe Turnpike, 3rd Floor Suite 1, Trumbull, CT 06611 | 2017-09-14 |
| 1588193981 | James Geisler | Counselor | 23 Wilmot Ave., Trumbull, CT 06611 | 2017-06-08 |
| 1215463807 | Rodrigo Fernandez | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 | 2017-05-03 |
| 1285087650 | Trumbull Pharmacy LLC | Pharmacy | 10 Broadway Road, Bldg B, Unit B, Trumbull, CT 06611 | 2016-07-20 |
| 1063897601 | Camilla Marie Schnaitmann | Social Worker | 132 Monroe Turnpike, Trumbull, CT 06611 | 2015-07-24 |
| 1194107318 | Alison R Kudish | Dentist | 160 Hawley Ln Ste 101, Trumbull, CT 06611 | 2015-06-24 |
| 1639456783 | Sagar Makanji | Pharmacist | 5065 Main Street, Ste Target, Target Pharmacy, Store 2361, Trumbull, CT 06611 | 2011-11-03 |
| 1639485956 | Beata Everett | Social Worker | 42 Craig Lane, Trumbull, CT 06611 | 2010-08-24 |
| Find all providers in zip 06611 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407864762 | Primed Gastroenterology, LLC | Clinic/Center | 888 White Plains Rd, Suite 210, Trumbull, CT 06611-4552 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477017648 | Connecticut Orthopaedic Surgery Center, LLC | Clinic/Center | 205 Sub Way Drive, Milford, CT 06461 | 2019-01-22 |
| 1083188478 | Rocky Hill Surgery Center, LLC | Clinic/Center | 1111 Cromwell Ave Ste 100, Rocky Hill, CT 06067-3449 | 2019-01-18 |
| 1922576818 | Greater New Haven Asc, LLC | Clinic/Center | 2080 Whitney Ave Ste 100, Hamden, CT 06518-3603 | 2018-11-08 |
| 1396120168 | Stamford Asc LLC | Clinic/Center | 200 First Stamford Pl, Stamford, CT 06902-6753 | 2015-07-22 |
| 1821332370 | River Valley Asc LLC | Clinic/Center | 45 Salem Tpke, Norwich, CT 06360-6533 | 2012-11-22 |
| 1164732426 | Norwalk Surgery Center, LLC | Clinic/Center | 40 Cross St Ste 120, Norwalk, CT 06851-4698 | 2010-10-20 |
| 1326356320 | Orthopaedic & Neurosurgery Center of Greenwich, LLC | Clinic/Center | 55 Holly Hill Lane, Greenwich, CT 06830 | 2010-09-24 |
| 1053628883 | Plastic Surgery of So Ct | Clinic/Center | 208 Post Rd W, Westport, CT 06880-4604 | 2010-08-31 |
| 1932438553 | Middlesex Center for Advanced Orthopedic Surgery, LLC | Clinic/Center | 510 Saybrook Road, Middletown, CT 06457-4711 | 2009-12-10 |
| 1497904296 | International Cosmetic Surgery | Clinic/Center | 2 Mercia Ln, Greenwich, CT 06830-7068 | 2008-09-17 |
| 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.