NORTHEAST RADIOLOGY OF CONNECTICUT, LLC (NPI# 1992180350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992180350 |
| Entity Type | Organization |
| Organization Name | NORTHEAST RADIOLOGY OF CONNECTICUT, LLC |
| Practice Address |
67 Sand Pit Rd Danbury CT 06810-4032 |
| Mailing Address |
3839 Danbury Rd Brewster NY 10509-5412 |
| Practice Telephone | 2037971770 |
| Practice Fax Number | 2037967839 |
| Mailing Telephone | 8452786200 |
| Mailing Fax Number | 8452781613 |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-08-11 |
| Authorized Official Name | HOWARD LEE (PRESIDENT) |
| Authorized Official Telephone | 8452786200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356813505 | Northeast Radiology of Connecticut, LLC | Radiology | 40 Old Ridgebury Rd Ste 103, Danbury, CT 06810-5119 | 2018-12-28 |
| 1023498805 | Northeast Radiology of Connecticut, LLC | Radiology | 67 Sand Pit Rd Ste 101, Danbury, CT 06810-4032 | 2015-06-05 |
| 1205342771 | Northeast Radiology of Connecticut, LLC | Radiology | 153 S Main St, Newtown, CT 06470-2791 | 2017-12-20 |
| 1386029742 | Northeast Radiology of Connecticut, LLC | Physiological Laboratory | 67 Sand Pit Rd Ste 101, Danbury, CT 06810-4032 | 2015-07-28 |
| 1669461133 | Northeast Radiology of Connecticut, LLC | Radiology | 73 Sand Pit Rd, Danbury, CT 06810-4042 | 2005-10-18 |
| Street Address |
67 SAND PIT RD |
| City | DANBURY |
| State | CT |
| Zip Code | 06810-4032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740278472 | James T Mcmahon | Physician Assistant | 67 Sand Pit Rd, Suite 308, Danbury, CT 06810-4032 | 2005-10-06 |
| 1841830411 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 67 Sand Pit Rd, Danbury, CT 06810-4032 | 2020-01-13 |
| 1275177016 | Stacey Gonzalez | Nurse Practitioner | 67 Sand Pit Rd, Danbury, CT 06810-4032 | 2019-11-05 |
| 1396120499 | Hvra of Danbury, LLC | Physiological Laboratory | 67 Sand Pit Rd, Danbury, CT 06810-4032 | 2015-07-30 |
| 1932583630 | Hvra of Danbury, LLC | Radiology | 67 Sand Pit Rd, Suite 105, Danbury, CT 06810-4084 | 2015-07-13 |
| 1225435423 | Kristen Debisceglie | Nurse Practitioner | 67 Sand Pit Rd, Suite 202, Danbury, CT 06810-4032 | 2014-12-03 |
| 1467748111 | Sokpoleak So | Anesthesiology | 67 Sand Pit Rd, Danbury, CT 06810 | 2011-06-21 |
| 1013152792 | Housatonic Valley Radiological Associates PC | Physiological Laboratory | 67 Sand Pit Rd, Suite 105, Danbury, CT 06810-4032 | 2008-12-09 |
| 1952554636 | Shawn Brian Finnegan | Physician Assistant | 67 Sand Pit Rd, Danbury, CT 06810 | 2008-10-28 |
| 1730348442 | Daniel Chick Fombo | Nurse Practitioner | 67 Sand Pit Rd, Ste. 308, Danbury, CT 06810-4032 | 2008-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
| 1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
| 1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
| 1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
| 1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
| 1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
| 1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
| 1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
| Find all providers in zip 06810 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396120499 | Hvra of Danbury, LLC | Physiological Laboratory | 67 Sand Pit Rd, Danbury, CT 06810-4032 | 2015-07-30 |
| 1386029742 | Northeast Radiology of Connecticut, LLC | Physiological Laboratory | 67 Sand Pit Rd Ste 101, Danbury, CT 06810-4032 | 2015-07-28 |
| 1013152792 | Housatonic Valley Radiological Associates PC | Physiological Laboratory | 67 Sand Pit Rd, Suite 105, Danbury, CT 06810-4032 | 2008-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568883791 | Physicians Ancillary Services LLC | Physiological Laboratory | 1090 Elm St Ste 200, Rocky Hill, CT 06067-1849 | 2013-12-13 |
| 1952352478 | Raytel Cardiac Services, Inc. | Physiological Laboratory | 29 Griffin Rd S Ste 35, Bloomfield, CT 06002 | 2006-05-12 |
| 1245295401 | Greater Waterbury Imaging Center Limited Partnership | Physiological Laboratory | 68 Robbins St, Waterbury, CT 06708-2613 | 2006-04-19 |
| 1851740682 | Braincare, LLC | Physiological Laboratory | 15 N Main St, Ste 100, West Hartford, CT 06107-1974 | 2016-06-13 |
| 1376836973 | Logz's LLC | Physiological Laboratory | 39 New London Tpke, Suite 325, Glastonbury, CT 06033-2061 | 2011-05-16 |
| 1922151695 | Healthcenter Imaging of Fairfield County LLC | Physiological Laboratory | 999 Silver Ln, Suite 1b, Trumbull, CT 06611-5343 | 2007-01-18 |
| 1851356919 | Southern Connecticut Imaging Centers LLC | Physiological Laboratory | 2200 Whitney Ave, Hamden, CT 06518-3691 | 2006-04-19 |
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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.