New England Family Medical and Walk-in Center, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

037442 Issued in CT

Legal business name

NEW ENGLAND FAMILY MEDICAL AND WALK-IN CENTER, LLC

Practice address

52 Church St
Putnam, CT 06260-1872

Phone

(860) 928-6044

Fax

(860) 928-6046

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Sundaramurthy Balachandran, M.D.NPI 1477638963

Title

Business Chief

Phone

(860) 928-6044

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Sundaramurthy Balachandran, MD

  • Family Medicine Physician
  • Putnam, CT
  • NPI 1477638963
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1104978063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 CHURCH ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601872",
            "telephone_number": "860-928-6044",
            "fax_number": "860-928-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 CHURCH ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601872",
            "telephone_number": "860-928-6044",
            "fax_number": "860-928-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND FAMILY MEDICAL AND WALK-IN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "BALACHANDRAN",
        "authorized_official_first_name": "SUNDARAMURTHY",
        "authorized_official_title_or_position": "BUSINESS CHIEF",
        "authorized_official_telephone_number": "860-928-6044",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "037442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter R Neal, M.ED, L.P.C.
• Kim Neely, L.O.
• Danielle Nelson
• Neri Holzer, MD PC
• Nes Medical Services of Northern Connecticut, P.C.
• New England Healthcare Staffing
• Sara Cathleen Nickle, DNP, FNP-C, APRN
• Victor Alexis Nieves
• Bonnie Lynn Niles, P.T.A.
• Ilya Noginskiy, MD

• Family Medicine Physician in Putnam, CT
• Providers in Putnam, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.