Civic North Haven, LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

CIVIC NORTH HAVEN, LLC

Practice address

127 Washington Ave Ste 4
North Haven, CT 06473-1715

Phone

(203) 883-0038

Fax

(203) 724-4838

NPI assigned

Aug 3, 2021

Last updated

Aug 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barry D Stein, MDNPI 1952318487

Title

Partner

Phone

(203) 883-0038

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

Locations

Practitioners 10

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.

• Emily Mackey Dasilva, APRN

  • Acute Care Nurse Practitioner
  • Farmington, CT
  • NPI 1215454863
  Medicare reassignment Care Compare group NPD
• Lauren Ashley Perugini, APRN

  • Family Nurse Practitioner
  • Waterbury, CT
  • NPI 1366118069
  Medicare reassignment Care Compare group NPD
• Tracey Velo, FNP-BC

  • Family Nurse Practitioner
  • Wilton, CT
  • NPI 1851957831
  Medicare reassignment Care Compare group NPD
• Linesary Cezaire

  • Family Nurse Practitioner
  • Brockton, MA
  • NPI 1467950741

  CT

  Medicare reassignment Care Compare group NPD
• Barry D Stein, MD

  • Anesthesiology Physician
  • Westbury, NY
  • NPI 1952318487

  CT

  Medicare reassignment NPD Authorized official
• Lauren Novy, APRN

  • Family Nurse Practitioner
  • Stamford, CT
  • NPI 1871365023
  Medicare reassignment Care Compare group
• Kristina Bikoulova, APRN

  • Family Nurse Practitioner
  • Wilton, CT
  • NPI 1568119667
  Medicare reassignment NPD
• Leeann Dam, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1275924169

  CT

  Medicare reassignment NPD
• Kristina Marie Stallard, MS, RN, NP-C

  • Family Nurse Practitioner
  • Englewood, OH
  • NPI 1972953032

  CT

  Medicare reassignment NPD
• Robert Roteman, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Chappaqua, NY
  • NPI 1871511865

  CT

  Medicare reassignment

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1164196283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 DANBURY RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974010",
            "telephone_number": "203-883-0038",
            "fax_number": "203-724-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 WASHINGTON AVE STE 4",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731715",
            "telephone_number": "203-883-0038",
            "fax_number": "203-724-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIVIC NORTH HAVEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "203-883-0038",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giavanna Gabriella Chirico, PA-C
• Bohun Choi, D.D.S
• Vaidehi R Chowdhary, M.D.
• Suzanne M Christoferson, LPC, ATR-BC
• Renee Cifarelli
• Clintonville Manor
• Clove Tree Community Acupuncture
• Shaquana Cobbs
• Allison V Cohen, M.D.
• Catherine Mary Coish

• Infusion Therapy Clinic/Center in North Haven, CT
• Providers in North Haven, CT by specialty
• Infusion Therapy Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.