NORTHEAST MEDICAL GROUP, INC. (NPI# 1861514457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861514457 |
| Entity Type | Organization |
| Organization Name | NORTHEAST MEDICAL GROUP, INC. |
| Other Organization Name | FAIRFIELD COUNTY SLEEP CENTER |
| Practice Address |
501 Kings Hwy E Suite 105 Fairfield CT 06825-4867 |
| Mailing Address |
3 Enterprise Dr Suite 404 Shelton CT 06484-4694 |
| Practice Telephone | 2036108745 |
| Practice Fax Number | 2036108746 |
| Mailing Telephone | 2039441940 |
| Mailing Fax Number | 2034024196 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2015-08-13 |
| Authorized Official Name | KATHLEEN TESTANI (SENIOR MANAGER) |
| Authorized Official Telephone | 2033367353 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHEAST MEDICAL GROUP, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fairfield County Sleep Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043278351 | Northeast Medical Group, Inc. | Social Worker | 226 Mill Hill Avenue, 3rd Flr, Bridgeport, CT 06610 | 2006-05-03 |
| 1578707162 | Northeast Medical Group, Inc. | Internal Medicine | 275 Varnum Ave, Suite # 108, Lowell, MA 01854-2141 | 2009-04-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | Northeast Medical Group, Inc. | 99 Hawley Lane, Stratford, CT 06614 |
| System for Award Management (SAM) Entities | NORTHEAST MEDICAL GROUP, INC. | 99 Hawley Ln Fl 3, Stratford, CT 06614-1202 |
| Street Address |
501 KINGS HWY E SUITE 105 |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825-4867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548253990 | Fairfield Pediatrics Inc | Pediatrics | 501 Kings Hwy E, Ste 203, Fairfield, CT 06825 | 2005-08-31 |
| 1336653468 | Fairfield Public Schools | Local Education Agency (LEA) | 501 Kings Hwy E, Fairfield, CT 06825-4867 | 2017-11-28 |
| 1265757926 | Cathleen M Azarigian | Nurse Practitioner | 501 Kings Hwy E, Fairfield, CT 06825-4867 | 2010-04-06 |
| 1548421019 | Catherine Burdge | Nurse Practitioner | 501 Kings Hwy E, Fairfield, CT 06825-4867 | 2008-06-18 |
| 1871781047 | Primed, LLC | Durable Medical Equipment & Medical Supplies | 501 Kings Hwy E, Suite 204, Fairfield, CT 06825-4867 | 2007-10-12 |
| 1255525879 | Women's Quality Care Inc. | Specialist | 501 Kings Hwy E, Suite 202, Fairfield, CT 06825-4867 | 2007-08-28 |
| 1841493913 | Brian N King | Surgery | 501 Kings Hwy E, Suite 112, Fairfield, CT 06825-4867 | 2007-06-07 |
| 1871614826 | Luann Russo | Advanced Practice Midwife | 501 Kings Hwy E, Suite 202, Fairfield, CT 06825-4867 | 2007-04-03 |
| 1144301839 | David H Bushell | Internal Medicine | 501 Kings Hwy E, Suite 204, Fairfield, CT 06825-4867 | 2006-10-18 |
| 1134200827 | Eric I Gentry | Internal Medicine | 501 Kings Hwy E, Suite 204, Fairfield, CT 06825-4867 | 2006-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376535 | Andrew Kalach | Physical Therapist | 2373 Black Rock Turnpike, Fairfield, CT 06825 | 2020-08-13 |
| 1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
| 1730720145 | L Burke LLC | Marriage & Family Therapist | 2501 Old Post Rd, 2nd Floor, Fairfield, CT 06825 | 2019-10-07 |
| 1760045066 | Stephen Miguel Pou | Dentist | 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 | 2019-04-22 |
| 1548716111 | Connecticut Orthopaedic Specialists, PC | Specialist | 425 Boston Post Road, Fairfield, CT 06825 | 2016-09-01 |
| 1497131239 | Alice Z Kelly | Social Worker | 113 Sky Top Drive, Fairfield, CT 06825 | 2015-08-04 |
| 1902218647 | John Feiler | Occupational Therapist | 175 Jefferson St., Fairfield, CT 06825 | 2014-05-29 |
| 1710242870 | Bridge Partnership, LLC | Community/Behavioral Health | 2505 Black Rock Turnpike, 2nd Floor, Fairfield, CT 06825 | 2012-07-05 |
| 1154614543 | Center for The Healing Arts, PC | Internal Medicine | 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 | 2011-05-18 |
| 1538468012 | Barbara Cohen | Occupational Therapist | 175 Jefferson Street, Fairfield, CT 06825 | 2011-03-23 |
| Find all providers in zip 06825 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932691805 | Donald William Bale | Clinic/Center | 1652 W Texas St Ste 223, Fairfield, CA 94533-6067 | 2018-06-05 |
| 1518203124 | Sleep Management Services | Clinic/Center | 1652 West Texas Street, Suite #223, Fairfield, CA 94533 | 2012-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245851633 | Sonno Diagnostics LLC | Clinic/Center | 252 Farmdale Rd, Watertown, CT 06795-2317 | 2020-04-27 |
| 1811426976 | Chestnut Sleep Consultants LLC | Clinic/Center | 220 Chestnut Grv, Guilford, CT 06437-1385 | 2017-06-12 |
| 1457619611 | New England Sleep Therapy, LLC | Clinic/Center | 1291 Boston Post Rd, Suite 202, Madison, CT 06443-3476 | 2012-04-25 |
| 1871801977 | Hamden Sleep Disorders Center,llc | Clinic/Center | 174 Cherry St, Milford, CT 06460-3415 | 2010-09-23 |
| 1891016176 | Nutmeg Sleep Lab | Clinic/Center | 478 Burnside Ave, East Hartford, CT 06108-2406 | 2010-06-21 |
| 1699908657 | Sleep Associates of Connecticut, Inc. | Clinic/Center | 687 Campbell Ave, West Haven, CT 06516-3774 | 2009-08-25 |
| 1992931687 | Hamden Sleep Disorders Center LLC | Clinic/Center | 14 Business Park Dr, Suite A, Branford, CT 06405-2909 | 2009-06-08 |
| 1487821211 | Yale University | Clinic/Center | 40 Temple St, Suite 3c, New Haven, CT 06510-2715 | 2008-05-12 |
| 1184832354 | Prime Healthcare (sleep Lab) | Clinic/Center | 30 Jordan Ln, Wethersfield, CT 06109-1278 | 2007-05-19 |
| 1699833194 | Norwich Sleep Center, LLC | Clinic/Center | 330 Washington St, Suite 440, Norwich, CT 06360-2700 | 2006-12-05 |
| 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.