Active NPI
Naugatuck Valley Gastroenterology Consultants LLC
- Gastroenterology Physician
- Waterbury, CT
National Provider Identifier
1144350141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- NAUGATUCK VALLEY GASTROENTEROLOGY CONSULTANTS LLC
- Practice address
- 1312 W Main St
Suite 101
Waterbury, CT 06708-3121 - Phone
- (203) 756-6422
- Fax
- (203) 756-2448
- NPI assigned
- Mar 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Eileen S Paradis
- Title
- Administrator
- Phone
- (203) 756-6422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
1312 W Main St
Suite 101
Waterbury, CT 06708-3121
Mailing address
1312 W Main St
Suite 101
Waterbury, CT 06708-3121
Phone (203) 756-6422
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004146777 | Medicaid | CT | |
| CK2200 | Other | CT | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Waterbury, CT
- NPI 1043283906
Member Of
Locations
166 Waterbury Rd
Ste 104
Prospect, CT 06712
Phone (203) 756-6422
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Waterbury, CT
- NPI 1790757383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392940800000",
"number": "1144350141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1312 W MAIN ST",
"address_2": "SUITE 101",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083121",
"telephone_number": "203-756-6422",
"fax_number": "203-756-2448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 W MAIN ST",
"address_2": "SUITE 101",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083121",
"telephone_number": "203-756-6422",
"fax_number": "203-756-2448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAUGATUCK VALLEY GASTROENTEROLOGY CONSULTANTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2014-02-21",
"status": "A",
"authorized_official_last_name": "PARADIS",
"authorized_official_first_name": "EILEEN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "203-756-6422",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004146777",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CK2200",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
- National Vision Inc
- Naugatuck Valley Computerized Imaging
- Naugatuck Valley Counseling and Med Management
- Naugatuck Valley Ear, Nose and Throat Associates, LLC
- Naugatuck Valley Endoscopy Center, LLC
- Naugatuck Valley MRI LLC
- Naugatuck Valley OB-GYN
- Naugatuck Valley OBGYN
- Naugatuck Valley Radiological Associates PC
- Naugatuck Valley Surgical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.