LAWRENCE AND MEMORIAL HOSPITAL, INC. (NPI# 1780748871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780748871 |
| Entity Type | Organization |
| Organization Name | LAWRENCE AND MEMORIAL HOSPITAL, INC. |
| Practice Address |
365 Montauk Avenue New London CT 06320 |
| Practice Telephone | 8604420711 |
| Mailing Telephone | 8604420711 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2018-08-02 |
| Authorized Official Name | MARY G MESSINA (SR. REGULATORY REIMBURSEMENT MGR) |
| Authorized Official Telephone | 2036888543 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 0047 | CT | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OXFORD | H04961 | 01 | |
| CT | 004024972 | 05 | |
| HEALTHNET | 033921 | 01 | |
| NC | 97000007 | 05 | |
| CA | XHSP31514 | 05 | |
| MN | 538520200 | 05 | |
| MA | 7201672 | 05 | |
| FL | 092591800 | 05 | |
| MA | 7002688 | 05 | |
| AETNA | 9127 | 01 | |
| CA | XHSP41514 | 05 | |
| CT | BLUE CROSS | 008 | 01 |
| CT | 004041679 | 05 | |
| CONNECTICARE | 946704 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471246 | Lawrence and Memorial Hospital, Inc. | Internal Medicine | 365 Montauk Ave, New London, CT 06320-4700 | 2020-06-08 |
| 1700092459 | Lawrence and Memorial Hospital, Inc. | General Acute Care Hospital | 365 Montauk Ave, New London, CT 06320-4700 | 2007-05-16 |
| 1821152919 | Lawrence and Memorial Hospital, Inc. | Psychiatric Unit | 365 Montauk Avenue, New London, CT 06320 | 2006-12-21 |
| 1073530879 | Lawrence and Memorial Hospital, Inc. | General Acute Care Hospital | 365 Montauk Avenue, New London, CT 06320 | 2006-07-16 |
| Street Address |
365 MONTAUK AVENUE |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912944695 | Faruk Soydan | Radiology | 365 Montauk Avenue, New London, CT 06320 | 2006-06-01 |
| 1932463460 | Paul Nicolosi | Physician Assistant | 365 Montauk Avenue, Lawrence Memorial Hospital, New London, CT 06320 | 2012-06-29 |
| 1720371818 | Timothy Tran | Urology | 365 Montauk Avenue, Faire Harbour Building, 2nd Fl, Suite 2.013, New London, CT 06320 | 2011-05-23 |
| 1275843633 | Alan H Lozano | Physician Assistant | 365 Montauk Avenue, New London, CT 06320 | 2010-10-19 |
| 1740453695 | Christopher Jason Smith | Physical Therapist | 365 Montauk Avenue, Lawrence and Memorial Hospital, New London, CT 06320 | 2008-04-10 |
| 1164644126 | James Longo | Counselor | 365 Montauk Avenue, New London, CT 06320 | 2007-05-02 |
| 1265654248 | Christine Simeone | Social Worker | 365 Montauk Avenue, New London, CT 06320 | 2007-05-02 |
| 1154545754 | Alin Bortan | Internal Medicine | 365 Montauk Avenue, New London, CT 06320 | 2007-04-13 |
| 1821152919 | Lawrence and Memorial Hospital, Inc. | Psychiatric Unit | 365 Montauk Avenue, New London, CT 06320 | 2006-12-21 |
| 1073530879 | Lawrence and Memorial Hospital, Inc. | General Acute Care Hospital | 365 Montauk Avenue, New London, CT 06320 | 2006-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824891 | Shilpi Jain | Physical Therapist | 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 | 2020-06-05 |
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 1043668320 | Cultivate & Grow Inc. | Counselor | 302 State St Suite 307, New London, CT 06320 | 2016-05-27 |
| 1295137263 | Jacqueline Durnell | Registered Nurse | 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 | 2014-09-22 |
| 1922427541 | Corina Vendetto | Registered Nurse | 245 Shaw St., New London, CT 06320 | 2014-04-10 |
| 1912329962 | Janelle Posey-green | Social Worker | 302 State St., Suite 201, New London, CT 06320 | 2014-01-10 |
| 1750622692 | Cynthia Mitchell | Social Worker | 65b Michael Rd, New London, CT 06320 | 2013-03-01 |
| 1518254507 | Simon J Shapiro | Physical Medicine & Rehabilitation | 190 Howard Avenue, New London, CT 06320 | 2011-06-29 |
| 1184876708 | Jane P Genido-trujillo | Nurse Practitioner | 270 Mohegan Ave., Student Health Services, New London, CT 06320 | 2008-10-14 |
| 1932356284 | Gerard Joseph Ventura | Dentist | 21 Montauk Ave., Suite 102, New London, CT 06320 | 2008-08-19 |
| Find all providers in zip 06320 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367918 | Norwalk Hospital | Rehabilitation Unit | 520 West Ave, Norwalk, CT 06850-4034 | 2020-05-18 |
| 1447453501 | Amfit Physical Therapy LLC | Rehabilitation Unit | 469 W Putnam Ave, Suite 202, Greenwich, CT 06830-6060 | 2007-06-07 |
| 1790837227 | Bridgeport Hospital | Rehabilitation Unit | 267 Grant St, Bridgeport, CT 06610-2805 | 2007-01-17 |
| 1518019041 | Yale-new Haven Hospital | Rehabilitation Unit | 20 York St, New Haven, CT 06504-8900 | 2007-01-17 |
| 1396751616 | Svmc Holdings, Inc | Rehabilitation Unit | 2800 Main St, Bridgeport, CT 06606-4201 | 2006-07-31 |
| 1659390573 | Danbury Hospital | Rehabilitation Unit | 24 Hospital Ave, Inpatient Rehabilitation Unit, Danbury, CT 06810-6099 | 2006-07-19 |
| 1902834880 | Hartford Hospital | Rehabilitation Unit | 80 Seymour St, Hartford, CT 06102-8000 | 2006-06-29 |
| 1548269624 | Hospital of Saint Raphael | Rehabilitation Unit | 1450 Chapel St, New Haven, CT 06511-4405 | 2005-07-20 |
| City | NEW LONDON |
| Zip Code | 06320 |
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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.