NORTHEASTERN PULMONARY ASSOCIATES LLC (NPI# 1730134305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730134305 |
| Entity Type | Organization |
| Organization Name | NORTHEASTERN PULMONARY ASSOCIATES LLC |
| Practice Address |
27 Naek Road Suite 2 Vernon CT 06066 |
| Mailing Address |
27 Naek Rd Suite 2 Vernon CT 06066-3942 |
| Practice Telephone | 8608752444 |
| Practice Fax Number | 8608722936 |
| Mailing Telephone | 8608752444 |
| Mailing Fax Number | 8608722936 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2008-01-10 |
| Authorized Official Name | DR. DAVID A WASSERSTEIN (MANAGING PARTNER) |
| Authorized Official Telephone | 8608752444 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
27 NAEK ROAD SUITE 2 |
| City | VERNON |
| State | CT |
| Zip Code | 06066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548416241 | Timothy J. Caouette | Nurse Practitioner | 27 Naek Road, Suite 2, Vernon, CT 06066 | 2008-08-13 |
| 1215050141 | Dana Decillis | Counselor | 27 Naek Road, Vernon, CT 06066 | 2007-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659992204 | Kumeh Bestman | Social Worker | 41 Jeff Road, Vernon, CT 06066 | 2020-05-05 |
| 1114567922 | Irina Bratan | Nurse Practitioner | 35 Talcottvile Road, Vernon, CT 06066 | 2020-01-09 |
| 1457833899 | Jessica Elizabeth Navallil | Pharmacist | 188 Union Street, Vernon, CT 06066 | 2018-09-02 |
| 1528557709 | Andre Spence | Counselor | 66 Orchard St, Vernon, CT 06066 | 2018-05-03 |
| 1992207468 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 400-1 Talcottville Rd, Vernon, CT 06066 | 2018-03-01 |
| 1811425754 | Patricia Cosgrove Barresi | Occupational Therapy Assistant | 1253 Hartford Turnpike, Vernon, CT 06066 | 2017-05-23 |
| 1922539592 | Ctuc01 | Clinic/Center | 179 Talcottville Rd, Vernon, CT 06066 | 2017-03-24 |
| 1558804070 | First Choice Health Centers, Inc. | Clinic/Center | 94 Union Sreet, 2nd Floor, Vernon, CT 06066 | 2016-12-01 |
| 1235685504 | Lotus Behavioral Consultation | Day Training, Developmentally Disabled Services | 3 Raymond Street, Vernon, CT 06066 | 2016-08-28 |
| 1891179537 | Heather Deal | Nurse Practitioner | 347 Hartford Turnpike, Vernon, CT 06066 | 2015-07-13 |
| Find all providers in zip 06066 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922319870 | Northeastern Sleep Disorders Center, LLC | Internal Medicine | 27 Naek Rd, Suite 3, Vernon, CT 06066-3965 | 2010-06-25 |
| 1508029836 | Karen C. Halasan | Internal Medicine | 27 Naek Rd, Vernon, CT 06066-3965 | 2008-07-07 |
| 1669411104 | Mohammed S Anwar | Internal Medicine | 281 Hartford Tpke, Suite 210, Vernon, CT 06066-4784 | 2006-06-06 |
| 1841239068 | David A Wasserstein | Internal Medicine | 27 Naek Rd, Suite 2, Vernon, CT 06066-3942 | 2006-06-05 |
| 1831145549 | Faustinus C Onyirimba | Internal Medicine | 27 Naek Rd, Suite 2, Vernon, CT 06066-3942 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356761290 | Issahar Ben-dov | Internal Medicine | 300 Cedar St, Pulmonary &critical Care Section, Tac-441 South, New Haven, CT 06520-8057 | 2014-04-18 |
| 1669710216 | Arthur Christian Degraff Jr. | Internal Medicine | 160 Hunter Dr, West Hartford, CT 06107-1017 | 2013-01-16 |
| 1215287214 | Craig Stephen Conoscenti | Internal Medicine | 199 Gregory Blvd, Unit I5, Norwalk, CT 06855-2640 | 2012-09-17 |
| 1396024980 | Johan Van Jaarsveld | Internal Medicine | 81 Deer Run Rd, Woodbridge, CT 06525-1907 | 2011-08-12 |
| 1215143953 | Kaiser Toosy | Internal Medicine | 136 Sherman Ave Ste 302, New Haven, CT 06511-5210 | 2007-05-16 |
| 1477675098 | A. Joel Papowitz | Internal Medicine | 179 Pine Creek Ave, Fairfield, CT 06824-6341 | 2007-04-04 |
| 1639293186 | Thinesh Dahanayake | Internal Medicine | 330 Washington St Ste 430, Norwich, CT 06360-2700 | 2007-03-19 |
| 1104910215 | Christopher Edward Manfredi | Internal Medicine | 30 Stevens Street, Suite C, Norwalk, CT 06850 | 2006-10-03 |
| 1598869596 | Kanagaratnam Jegathesan Md PC | Internal Medicine | 2271 East Main St, Waterbury, CT 06705 | 2006-09-11 |
| 1497859409 | Kanagaratnam Jegathesan | Internal Medicine | 2271 East Main Street, Waterbury, CT 06705 | 2006-09-11 |
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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.