BRIDGEPORT RADIOLOGICAL ASSOCIATES, LLC (NPI# 1962488981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962488981 |
| Entity Type | Organization |
| Organization Name | BRIDGEPORT RADIOLOGICAL ASSOCIATES, LLC |
| Other Organization Name | ADVANCED RADIOLOGY CONSULTANTS |
| Practice Address |
3 Enterprise Dr Suite 220 Shelton CT 06484-7620 |
| Practice Telephone | 2036966125 |
| Practice Fax Number | 2036966130 |
| Mailing Telephone | 2036966125 |
| Mailing Fax Number | 2036966130 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2017-02-14 |
| Authorized Official Name | MR. ALAN KAYE (CEO) |
| Authorized Official Telephone | 2036966125 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004045787 | 05 |
| Other Name | Type Code |
|---|---|
| Advanced Radiology Consultants | Doing Business As Name - Organization |
| Street Address |
3 ENTERPRISE DR SUITE 220 |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-7620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487030979 | Spine Wave, Inc. | Durable Medical Equipment & Medical Supplies | 3 Enterprise Dr, Suite 210, Shelton, CT 06484-7620 | 2015-08-06 |
| 1881838118 | Adam H Kaye | Radiology | 3 Enterprise Dr, Suite 220, Shelton, CT 06484-7620 | 2009-04-30 |
| 1710991617 | Advanced Radiology Consultants, LLC | Clinic/Center | 3 Enterprise Dr, Suite 220, Shelton, CT 06484-7620 | 2006-07-28 |
| 1003820911 | Advanced Radiology Mri Centers, Lp | Clinic/Center | 3 Enterprise Dr, Suite 220, Shelton, CT 06484-7620 | 2006-07-28 |
| 1063440428 | Steven Cohen | Radiology | 3 Enterprise Dr, Suite 220, Shelton, CT 06484-7620 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
| 1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
| 1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
| 1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
| 1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
| 1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
| Find all providers in zip 06484 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720070063 | Frank M Mele | Radiology | 3 Enterprise Dr Ste 220, Shelton, CT 06484-4694 | 2005-08-22 |
| 1881838118 | Adam H Kaye | Radiology | 3 Enterprise Dr, Suite 220, Shelton, CT 06484-7620 | 2009-04-30 |
| 1790929362 | Yogesh Kumar | Radiology | 3 Enterprise Dr Ste 220, Shelton, CT 06484-4694 | 2009-04-27 |
| 1073774659 | Kiran Sheikh | Radiology | 3 Enterprise Dr Ste 220, Shelton, CT 06484-4694 | 2008-06-17 |
| 1952496424 | Scott D Smith | Radiology | 3 Enterprise Dr Ste 220, Shelton, CT 06484-4694 | 2006-10-03 |
| 1598782492 | Thomas J Dibartholomeo | Radiology | 3 Enterprise Dr Ste 220, Shelton, CT 06484-4694 | 2006-07-16 |
| 1164452066 | Joshua Michael Sapire | Radiology | 3 Enterprise Dr Ste 220, Shelton, CT 06484-4694 | 2006-07-04 |
| 1063440428 | Steven Cohen | Radiology | 3 Enterprise Dr, Suite 220, Shelton, CT 06484-7620 | 2006-06-28 |
| 1851329221 | Mark Rosovsky | Radiology | 3 Enterprise Dr Ste 220, Shelton, CT 06484-4694 | 2006-06-28 |
| 1306886817 | Denise I Pittaro | Radiology | 3 Enterprise Dr Ste 220, Shelton, CT 06484-4694 | 2006-06-07 |
| Find all providers in SHELTON | ||||
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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.