Beacon Falls Medical Association, LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

035834 Issued in CT

Legal business name

BEACON FALLS MEDICAL ASSOCIATION, LLC

Practice address

202 Water St
Naugatuck, CT 06770-2803

Phone

(203) 729-6644

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Jose R Orellana

Title

President

Phone

(203) 729-6644

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Vincent M Leone, M.D.

  • Internal Medicine Physician
  • Southington, CT
  • NPI 1073532339

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093731291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 WATER ST",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067702803",
            "telephone_number": "203-729-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 WATER ST",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067702803",
            "telephone_number": "203-729-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON FALLS MEDICAL ASSOCIATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORELLANA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-729-6644"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CT",
            "license": "035834",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CT",
            "license": "035801",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG6464",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "50BEFALLSCT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Balanced Body Chiropractic Center
• Alora Dineen Baldino
• Jonathan Bartolini
• Megan E Bartos, OTR/L CLT
• Beacon Brook Acquisition Operator, LLC
• Joanne Beck
• Lisa Bedard
• Bee Well House Calls, LLC
• Lorrie Belmonte, RN
• Michele Marie Belval, OTR

• All providers in Naugatuck, CT
• Gastroenterology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.