NEW LONDON CANCER CENTER, P.C (NPI# 1952344004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952344004 |
| Entity Type | Organization |
| Organization Name | NEW LONDON CANCER CENTER, P.C |
| Other Organization Name | NEW LONDON CANCER CENTER, INC |
| Practice Address |
196 Parkway S Suite 303 Waterford CT 06385-1219 |
| Mailing Address |
196 Parkway S Suite 304 Waterford CT 06385-1234 |
| Practice Telephone | 8604434455 |
| Practice Fax Number | 8604478961 |
| Mailing Telephone | 8604427027 |
| Mailing Fax Number | 8604440074 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-09-04 |
| Authorized Official Name | DR. MITHLESH GOVIL (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 8604434455 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | NEW LONDON CANCER CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | CT | Suppliers |
| Other Name | Type Code |
|---|---|
| New London Cancer Center, Inc | Former Legal Business Name - Organization |
| Street Address |
196 PARKWAY S SUITE 303 |
| City | WATERFORD |
| State | CT |
| Zip Code | 06385-1219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235136094 | Mithlesh Govil | Internal Medicine | 196 Parkway S, Suite 303, Waterford, CT 06385-1234 | 2005-07-07 |
| 1427431840 | Julie Zito | Physician Assistant | 196 Parkway S, Suite303, Waterford, CT 06385-1234 | 2015-07-02 |
| 1275933095 | Crossroads Primary Care, LLC | Durable Medical Equipment & Medical Supplies | 196 Parkway S, Suite 304, Waterford, CT 06385-1234 | 2014-08-28 |
| 1255745014 | Jacqueline Lagasse | Registered Nurse | 196 Parkway S, Suite 303, Waterford, CT 06385-1234 | 2014-06-19 |
| 1093140162 | Kenneth R Kierstein | Podiatrist | 196 Parkway S, Suite 302, Waterford, CT 06385-1234 | 2013-09-09 |
| 1528369006 | Carol Ann Greene | Occupational Therapy Assistant | 196 Parkway S, Suite 201, Waterford, CT 06385-1234 | 2010-11-15 |
| 1073827465 | Sarah R Donahue | Nurse Practitioner | 196 Parkway S, Suite 303, Waterford, CT 06385-1234 | 2010-07-28 |
| 1861724106 | Valmarie Ramos | Internal Medicine | 196 Parkway S, Suite 303, Waterford, CT 06385-1234 | 2010-02-11 |
| 1326279035 | Jodi V Hodge | Physician Assistant | 196 Parkway S, Suite 303, Waterford, CT 06385-1234 | 2009-07-29 |
| 1023261690 | Katherine Lm Bender | Nurse Practitioner | 196 Parkway S, Suite 304, Waterford, CT 06385-1234 | 2008-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073140331 | Megan Plattner | Hearing Instrument Specialist | Waterford Commons 903-915 Hartford Tpke, Store 16, Waterford, CT 06385 | 2020-03-26 |
| 1174032288 | Winakor's Healing Practice | Social Worker | 758 Broad St. Ext., Waterford, CT 06385 | 2017-09-21 |
| 1972029494 | Michael C Marshall | Social Worker | 112 Great Neck Road, Empowerment Counseling Services, LLC, Waterford, CT 06385 | 2017-08-16 |
| 1750810297 | Taylor Anne Tomasetti | Occupational Therapist | 24 Doyle Rd, Waterford, CT 06385 | 2017-06-08 |
| 1366993214 | Ascension Naturopathic Healing Center LLC | Clinic/Center | 175 Boston Post Road, Floor 1, Waterford, CT 06385 | 2016-10-16 |
| 1467815126 | Sanborn Optometric Associates | Clinic/Center | 900 Hartford-new London Turnpike, Waterford, CT 06385 | 2016-03-31 |
| 1225499007 | Martin L Hellman, Od, Faao, LLC | Optometrist | 850 Waterford Tpke, Waterford, CT 06385 | 2016-03-08 |
| 1861876211 | Mallory Rose Devona | Counselor | 2 Leary Dr, Waterford, CT 06385 | 2015-07-15 |
| 1336571843 | Carrie M Reynolds | Surgery | 5 Scenic View Dr, Waterford, CT 06385 | 2013-08-07 |
| 1194085076 | Meghana Rao Brito | Internal Medicine | 196 Waterford Pkwy S Ste 103, Waterford, CT 06385 | 2012-05-24 |
| Find all providers in zip 06385 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023587896 | Cct Medical Supplies | Durable Medical Equipment & Medical Supplies | 4489 W Walton Blvd, Waterford, MI 48329-4076 | 2018-11-21 |
| 1548769409 | Gbm Dme, LLC | Durable Medical Equipment & Medical Supplies | 5499 Perry Dr Ste B, Waterford, MI 48329-4827 | 2018-02-06 |
| 1144684390 | J & L Medical Services | Durable Medical Equipment & Medical Supplies | 316 Boston Post Rd, # 4, Waterford, CT 06385-1955 | 2016-04-13 |
| 1326333576 | Mcmahon &sales Associates, LLC. | Durable Medical Equipment & Medical Supplies | 4139 W Walton Blvd, Suite C-2, Waterford, MI 48329-4188 | 2011-06-16 |
| 1235441361 | A.m.s. Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 1028 W Huron St, Waterford, MI 48328-3730 | 2010-07-06 |
| 1407034358 | A Better Choice Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 3100 Dixie Hwy, Waterford, MI 48328-1603 | 2008-02-02 |
| 1548443427 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 20 S Telegraph Rd, Waterford, MI 48328-3860 | 2007-12-13 |
| 1326180407 | Future Medical Home Health Inc | Durable Medical Equipment & Medical Supplies | 5600 Williams Lake Rd, Waterford, MI 48329-3283 | 2007-02-13 |
| 1437299914 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 4200 Highland Rd, Waterford, MI 48328-2137 | 2007-02-07 |
| 1073650206 | Kris A Haase Dpm Plc | Durable Medical Equipment & Medical Supplies | 7611 Highland Rd, Waterford, MI 48327-1503 | 2007-01-30 |
| Find all providers in WATERFORD | ||||
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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.