Central Connecticut Endoscopy Center

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

0291 Issued in CT

Legal business name

CENTRAL CONNECTICUT ENDOSCOPY CENTER

Practice address

440 New Britain Ave
Plainville, CT 06062-2016

Phone

(860) 793-8500

Fax

(860) 747-4873

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Meaghan Watson

Title

Administrator

Phone

(860) 793-8500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Listed as

Central Connecticut Endoscopy CenterCCN 07C0001045

Medicare certification status

ActiveFrom the Provider of Services file

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Bristol Hospital Incorporated

  • General Acute Care Hospital
  • Bristol, CT
  • NPI 1619901642

  Member Of

  NPD member
• The Hospital of Central Connecticut at New Britain General and Bradley

  • General Acute Care Hospital
  • New Britain, CT
  • NPI 1053477075

  Member Of

  NPD member

Practitioners 1

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

• Daniel Norman Smiley, MD

  • Gastroenterology Physician
  • Bristol, CT
  • NPI 1033176870
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124131636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 NEW BRITAIN AVE",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060622016",
            "telephone_number": "860-793-8500",
            "fax_number": "860-747-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 NEW BRITAIN AVE",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060622016",
            "telephone_number": "860-793-8500",
            "fax_number": "860-747-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CONNECTICUT ENDOSCOPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "MEAGHAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "860-793-8500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "CT",
            "license": "0291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Anne Carr, APRN-BC
• Hannah Carroccia, LMSW
• Carolyn Jean Cavaliere, DPT
• Kimberly Anne Cavalieri, B.S.
• Center for Autism Therapy LLC
• Marcus Lee Charles
• Elizabeth Jean Chaterdon, MSW
• Emily Maria Chenette
• Chiropractic Care Center LLC
• Malina Yuna Choi, LPC

• Endoscopy Clinic/Center in Plainville, CT
• Providers in Plainville, CT by specialty
• Endoscopy Clinic/Center 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.
• 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.