C River Neurology of Connecticut LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

C RIVER NEUROLOGY OF CONNECTICUT LLC

Practice address

34 Jerome Ave Ste 204
Bloomfield, CT 06002-2463

Phone

(860) 966-9680

Fax

(860) 216-6641

NPI assigned

Nov 15, 2018

Organization subpart

No

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

Authorized official

Name

Gregory Warwick Taylor, MD

Title

Owner

Phone

(860) 845-7543

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1083183453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 JEROME AVE STE 204",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022463",
            "telephone_number": "860-966-9680",
            "fax_number": "860-216-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 JEROME AVE STE 204",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022463",
            "telephone_number": "860-966-9680",
            "fax_number": "860-216-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C RIVER NEUROLOGY OF CONNECTICUT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-15",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "WARWICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-845-7543",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nattoya Bryan, LPN,EMT-B
• Ronald Loius Bucari, DMD
• Simone Buchanan, RN
• Frances Burrier, NP
• Tamanique Byrd, LICSW
• Stephen F Calderon, M.D.
• Tracy Nicole Caldwell, ECID
• Cambridge Mental Health, LLC
• Collette A Campbell, LPC
• Kimberly A Campbell

• Neurology Physician in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Neurology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.