NORTHEAST MEDICAL GROUP INC (NPI# 1821390626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821390626 |
| Entity Type | Organization |
| Organization Name | NORTHEAST MEDICAL GROUP INC |
| Other Organization Name | NORTHEAST MEDICAL GROUP GREENWICH RADIATION ONCOLOGY |
| Practice Address |
77 Lafayette Pl Suite 290 Greenwich CT 06830-5426 |
| Mailing Address |
Po Box 417143 Boston MA 02241-0001 |
| Practice Telephone | 2038633701 |
| Mailing Telephone | 6157464711 |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-11-30 |
| Authorized Official Name | DR. BRUCE MCDONALD (PRESIDENT) |
| Authorized Official Telephone | 2033843717 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
047092 | CT | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| NORTHEAST MEDICAL GROUP GREENWICH RADIATION ONCOLOGY | Other Name - Individual/Organization |
| Street Address |
77 LAFAYETTE PL SUITE 290 |
| City | GREENWICH |
| State | CT |
| Zip Code | 06830-5426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811955958 | Paul Frederick Waters | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 77 Lafayette Pl, Suite 302, Greenwich, CT 06830-5426 | 2006-05-01 |
| 1366782328 | Stephanie Paine | Nurse Practitioner | 77 Lafayette Pl, Greenwich, CT 06830-5426 | 2013-02-27 |
| 1003134586 | Francesca Montanari | Internal Medicine | 77 Lafayette Pl, Greenwich, CT 06830-5426 | 2010-05-09 |
| 1689998106 | Robert E Reber M.d. PC | Surgery | 77 Lafayette Pl, 301, Greenwich, CT 06830-5426 | 2010-03-26 |
| 1982840039 | Radiation Services of Greenwich, LLC | Radiology | 77 Lafayette Pl, Greenwich, CT 06830-5426 | 2008-12-19 |
| 1922172188 | Philip J Mcwhorter | Surgery | 77 Lafayette Pl, Greenwich, CT 06830-5426 | 2006-11-20 |
| 1861566002 | Athanassios Petrotos | Surgery | 77 Lafayette Pl, Suite 301, Greenwich, CT 06830-5426 | 2006-11-20 |
| 1407952997 | Surgical Specialists of Greenwich | Surgery | 77 Lafayette Pl, Greenwich, CT 06830-5426 | 2006-09-15 |
| 1013920172 | Christina A Delpin | Surgery | 77 Lafayette Pl, Greenwich, CT 06830-5426 | 2006-08-13 |
| 1245249549 | Mill Hill Medical Consultants Inc | Surgery | 77 Lafayette Pl, Suite 302, Greenwich, CT 06830-5426 | 2006-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303341 | Cristina Castagna | Physical Therapist | 500 West Putnam Ave, 3rd Floor, Greenwich, CT 06830 | 2020-10-16 |
| 1194334334 | Cognitive and Behavioral Care Center, LLC | Counselor | 55 Old Post Road #2, Suite 2c, Greenwich, CT 06830 | 2020-07-23 |
| 1245866433 | Barbara Edeson Roth | Speech-Language Pathologist | The Nathaniel Witherell Home, 70 Parsonage Road, Greenwich, CT 06830 | 2020-03-19 |
| 1750938932 | Evelyn Ramos | Licensed Practical Nurse | 111 Wilbur Peck Ct, Greenwich, CT 06830 | 2019-08-21 |
| 1134773674 | Alexandra Blair Conway | Psychologist | 55 Holly Hill Lane Suite 170, Greenwich, CT 06830 | 2019-08-01 |
| 1821560871 | Brionna Emily Lyles | Licensed Practical Nurse | 111 Wilbur Court, Greenwich, CT 06830 | 2018-12-31 |
| 1568959815 | Backcountry Wellness Inc. | Social Worker | 7 Lincoln Avenue, Greenwich, CT 06830 | 2018-04-21 |
| 1316455876 | Hillary Rea Bercovici | Counselor | 8 Sound Shore Dr Ste 130, Greenwich, CT 06830 | 2018-01-18 |
| 1689181083 | Coastal Eye Surgeons LLC | Ophthalmology | 600 W Putnam Ave Lowr Level, Greenwich, CT 06830 | 2018-01-07 |
| 1952853814 | Tina M. Crystal | Psychologist | 75 Holly Hill Lane, Suite 300, Greenwich, CT 06830 | 2016-10-26 |
| Find all providers in zip 06830 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417150004 | Ann C Cea | Radiology | 244 Byram Shore Rd, Greenwich, CT 06830-6932 | 2007-06-09 |
| 1982840039 | Radiation Services of Greenwich, LLC | Radiology | 77 Lafayette Pl, Greenwich, CT 06830-5426 | 2008-12-19 |
| 1639121353 | Ashwatha Narayana | Radiology | 77 Lafayette Pl, Greenwich, CT 06830-5426 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639565948 | David Gasalberti | Radiology | 243 Steele Rd Apt 314, West Hartford, CT 06117-1725 | 2015-04-13 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1407173115 | William J Aberizk Jr. | Radiology | 166 Ledgewood Rd, Apt 108, Groton, CT 06340-6614 | 2010-04-21 |
| 1326206855 | Ranjit S Bindra | Radiology | 20 York Street, Smilow Cancer Hospital, Yale New Haven, Lower Level, New Haven, CT 06510 | 2008-05-31 |
| 1760640643 | Douglas Michael Housman | Radiology | 25 Newell Road, Suite C11, Bristol, CT 06010-5100 | 2008-05-28 |
| 1306020474 | James Byunghoon Yu | Radiology | 20 York St, T-209, Yale - New Haven Hospital, New Haven, CT 06510 | 2007-12-24 |
| 1750400644 | Suzanne Buckley Evans | Radiology | 865 Montauk Ave, Cancer Center, New London, CT 06320 | 2007-03-29 |
| 1912084419 | Sean W. Dowling | Radiology | 34 Shelburne Rd, Radiation Oncology, Stamford, CT 06902-3628 | 2006-11-01 |
| 1427163815 | Allen B Silberstein | Radiology | 536 Saybrook Road, Middlesex Hospital Cancer Center, Middletown, CT 06457 | 2006-08-19 |
| 1194838326 | Eric M. Vanrooy | Radiology | 94 Woodland Street, Hartford, CT 06105 | 2006-08-15 |
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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.