Guardian Health Center, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GUARDIAN HEALTH CENTER, PA

Practice address

179 Flanders Rd
Niantic, CT 06357-1206

Phone

(860) 949-3040

NPI assigned

May 12, 2007

Last updated

Aug 14, 2024By 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

Troy Frazer, D.O.NPI 1689775918

Title

President

Phone

(860) 949-3040

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 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.

• Troy D. Frazer, D.O.

  • Family Medicine Physician
  • Niantic, CT
  • NPI 1689775918
  Medicare reassignment Authorized official
• Tiffany Lee Berkshire, DO

  • Pediatrics Physician
  • Miami, FL
  • NPI 1447299300
  NPD (past)
• Juan M Cuellar, MD

  • Nephrology Physician
  • Miami, FL
  • NPI 1285617621
  NPD (past)
• Denise B Giuliani, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Belle Glade, FL
  • NPI 1730235433
  NPD (past)
• Keri Lee Livingstone

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1316902455
  NPD (past)
• Aman D Sabharwal, MD

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1821000662
  NPD (past)

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

{
    "created_epoch": "1178928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1184839128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 FLANDERS RD",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063571206",
            "telephone_number": "860-949-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 FLANDERS RD",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063571206",
            "telephone_number": "860-949-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HEALTH CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-12",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "FRAZER",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-949-3040",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Paul Goldberg, MD
• David L Goldschneider
• Alexandra Gozzola
• Judith F. Gruber, LCSW, CCET
• Eileen Grudier, LCSW
• Diane Guardiani, PMHNP (APRN)
• Monica Guyot, MS
• Ronald Haas Jr., LICENSED OPTICIAN
• Harmony Health Partners
• Sara Harrington-Doyon, PHARM.D.

• Family Medicine Physician in Niantic, CT
• Providers in Niantic, 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 Aug 14, 2024; 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.