NPIMap

Organization Active NPI

Leif O Nordberg MD, LLC

Doing business as CVW Body Design Center - Stamford, LLC

  • Ambulatory Surgical Clinic/Center
  • Stamford, CT
National Provider Identifier
1043482128
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
349 Issued in CT
Legal business name
LEIF O NORDBERG MD, LLC
Doing business as
CVW Body Design Center - Stamford, LLC
Practice address
2001 W Main St
Suite 155
Stamford, CT 06902
Phone
(203) 324-4700
Fax
(203) 324-5691
NPI assigned
Mar 28, 2008
Last updated
Aug 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Leif O Nordberg, M.D.NPI 1881667392
Title
President
Phone
(203) 324-1971

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 349 CT Primary

Addresses

Primary practice location

2001 W Main St
Suite 155
Stamford, CT 06902

Mailing address

2001 W Main St
Suite 155
Stamford, CT 06902-4501
Phone (203) 324-1971

Other names 1

  • CVW Body Design Center - Stamford, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

166 W Broad St
Ste 401
Stamford, CT 06902
Phone (203) 324-4700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1043482128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W MAIN ST",
            "address_2": "SUITE 155",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024501",
            "telephone_number": "203-324-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W MAIN ST",
            "address_2": "SUITE 155",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06902",
            "telephone_number": "203-324-4700",
            "fax_number": "203-324-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEIF O NORDBERG MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "NORDBERG",
        "authorized_official_first_name": "LEIF",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-324-1971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CT",
            "license": "349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVW Body Design Center - Stamford, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.