Organization Active NPI

Connecticut Colon & Rectal Surgery, LLC

  • Colon & Rectal Surgery Physician
  • New Britain, CT
National Provider Identifier
1083804231
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
CONNECTICUT COLON & RECTAL SURGERY, LLC
Practice address
40 Hart St Ste B2
New Britain, CT 06052-1745
Phone
(860) 826-3880
Fax
(860) 826-3883
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Dr. Christina Czyrko, MDNPI 1497721831
Title
Owner/Physician
Phone
(860) 826-3880

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
Colon & Rectal Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208C00000X Primary

Addresses

Primary practice location

40 Hart St Ste B2
New Britain, CT 06052-1745

Mailing address

40 Hart St Ste B2
New Britain, CT 06052-1745
Phone (860) 826-3880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040827000677 CT Part B Supplier - Clinic/Group Practice 0547235160 Receives reassigned benefits from 3 practitioners
Practice locations: Plainville, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1083804231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 HART ST STE B2",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521745",
            "telephone_number": "860-826-3880",
            "fax_number": "860-826-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 HART ST STE B2",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521745",
            "telephone_number": "860-826-3880",
            "fax_number": "860-826-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT COLON & RECTAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "CZYRKO",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "860-826-3880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.