NPIMap

Organization Active NPI

Elcg Medical LLC

Doing business as CT River Urology

  • Non-Pharmacy Dispensing Site
  • Bloomfield, CT
National Provider Identifier
1073389029
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
ELCG MEDICAL LLC
Doing business as
CT River Urology
Practice address
6 Northwestern Dr Ste 105
Bloomfield, CT 06002-3416
Phone
(860) 917-0019
Fax
(833) 449-5031
NPI assigned
Nov 30, 2023
Last updated
Nov 30, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ELCG MEDICAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Dr. Erica H Lambert, MDNPI 1285803528
Title
MD/Owner
Phone
(917) 837-9215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

6 Northwestern Dr Ste 105
Bloomfield, CT 06002-3416

Mailing address

6 Northwestern Dr Ste 105
Bloomfield, CT 06002-3416
Phone (860) 917-0019

Other names 1

  • CT River Urology Doing business as

National Provider Directory

National Provider Directory
Part of
Elcg Medical LLC

Locations

6 Northwestern Dr
Ste 105
Bloomfield, CT 06002
Phone (860) 917-0019

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1073389029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 NORTHWESTERN DR STE 105",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023416",
            "telephone_number": "860-917-0019",
            "fax_number": "833-449-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 NORTHWESTERN DR STE 105",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023416",
            "telephone_number": "860-917-0019",
            "fax_number": "833-449-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELCG MEDICAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELCG MEDICAL LLC",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "917-837-9215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CT River Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.