St. Vincents Urgent Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ST. VINCENTS URGENT CARE LLC

Practice address

900 White Plains Rd
Trumbull, CT 06611-5727

Phone

(203) 696-3500

NPI assigned

Oct 16, 2019

Organization subpart

Yes

Parent organization

ST VINCENT'S MULTISPECIALTY GROUPAs reported in NPPES

Name

Ms. Llatoya Gayle

Title

Credentialing Coordinator

Phone

(475) 210-5346

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monica Ahern Lockwood, MD

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1487834917

  Internal Medicine

  NPD
• Jennifer L Aldrich, PA-C

  • Physician Assistant
  • Waterbury, CT
  • NPI 1992108757
  NPD
• David F Altamirano, M.D.

  • Family Medicine Physician
  • Bridgeport, CT
  • NPI 1104139963

  Family Medicine

  NPD
• Jennifer R Baker, P.A.

  • Physician Assistant
  • Bridgeport, CT
  • NPI 1407046832
  NPD
• Stuart C. Belkin, M.D.

  • Orthopaedic Surgery Physician
  • Monroe, CT
  • NPI 1235169863
  NPD
• Eryka L. Bradley, PA

  • Medical Physician Assistant
  • Hartford, CT
  • NPI 1730845801
  NPD
• Aliza Lynn Brant, APRN

  • Family Nurse Practitioner
  • Westport, CT
  • NPI 1720770654
  NPD
• Tara Nicole Carlesco, PA-C

  • Medical Physician Assistant
  • Wallingford, CT
  • NPI 1679059505
  NPD
• Sumara Imtiaz Choudhry, P.A.-C

  • Physician Assistant
  • Bridgeport, CT
  • NPI 1730626490
  NPD
• Jayme Marie Clark, PA-C

  • Medical Physician Assistant
  • South Windsor, CT
  • NPI 1306115142
  NPD
• Nicole C Colline, APRN

  • Nurse Practitioner
  • West Haven, CT
  • NPI 1083808273
  NPD
• Indrani Datta, M.D.

  • Emergency Medicine Physician
  • Trumbull, CT
  • NPI 1376562991
  NPD

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 16, 2019.

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1043852569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066065363",
            "telephone_number": "475-210-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WHITE PLAINS RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115727",
            "telephone_number": "203-696-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENTS URGENT CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST VINCENT'S MULTISPECIALTY GROUP",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "GAYLE",
        "authorized_official_first_name": "LLATOYA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "475-210-5346",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helena T Squicciarini, D.O.
• St Vincent'S Special Needs Center Inc
• St. Joseph'S Manor
• St. Vincent'S Special Needs Center Inc
• St. Vincent'S Special Needs Center, Inc.
• Amy Stabinsky
• Janae Mary Staltaro
• Sade Starling
• Thomas Stec, C.P.O.
• Anne Steers, LCSW

• All providers in Trumbull, CT
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.