NPIMap

Organization Active NPI

Elite Brain & Spine of Connecticut, PLLC

  • Neurological Surgery Physician
  • Danbury, CT
National Provider Identifier
1114047933
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
ELITE BRAIN & SPINE OF CONNECTICUT, PLLC
Practice address
33 Hospital Ave.
Danbury, CT 06810
Phone
(203) 853-0003
Fax
(203) 838-5423
NPI assigned
Mar 29, 2007
Last updated
Oct 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Shawn B. FinneganNPI 1952554636
Title
President
Phone
(203) 853-0003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X Primary

Addresses

Primary practice location

33 Hospital Ave.
Danbury, CT 06810

Mailing address

33 Hospital Ave.
Danbury, CT 06810
Phone (203) 853-0003

Other names 1

  • NeuroSurgical Associates of Southwestern CT Former legal business name

National Provider Directory

National Provider Directory

Locations

67 Sand Pit Rd
Ste 208
Danbury, CT 06810
Phone (203) 792-2003

148 East Ave
Ste 3D
Norwalk, CT 06851
Phone (203) 853-0003

Practitioners & affiliated clinicians

Practitioners 6

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1114047933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 HOSPITAL AVE.",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "06810",
            "telephone_number": "203-853-0003",
            "fax_number": "203-838-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 HOSPITAL AVE.",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "06810",
            "telephone_number": "203-853-0003",
            "fax_number": "203-838-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE BRAIN & SPINE OF CONNECTICUT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "FINNEGAN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-853-0003"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroSurgical Associates of Southwestern CT",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.