Active NPI
Center for Vascular Medicine CT, PLLC
- Specialist
- Cromwell, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- CENTER FOR VASCULAR MEDICINE CT, PLLC
- Practice address
- 136 Berlin Rd Ste 202
Cromwell, CT 06416-2622 - Phone
- (301) 486-4690
- Fax
- (301) 982-2001
- NPI assigned
- Apr 2, 2020
- Last updated
- Jan 25, 2021
- Organization subpart
- Yes
- Parent organization
- CENTER FOR VASCULAR MEDICINE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Kennedy, PA-C
- Title
- Chief Executive Officer
- Phone
- (301) 982-2000
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
136 Berlin Rd Ste 202
Cromwell, CT 06416-2622
Mailing address
7474 Greenway Center Dr Ste 900
Greenbelt, MD 20770-3504
Phone (301) 486-4690
Other practice location 1
463 Worcester Rd Ste 205
Framingham, MA 01701-5354
Phone (301) 486-4690
National Provider Directory
National Provider Directory- Part of
- Center for Vascular Med
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physician Assistant
- Greenbelt, MD
- NPI 1629519574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611532800000",
"number": "1205465382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7474 GREENWAY CENTER DR STE 900",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703504",
"telephone_number": "301-486-4690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 BERLIN RD STE 202",
"city": "CROMWELL",
"state": "CT",
"postal_code": "064162622",
"telephone_number": "301-486-4690",
"fax_number": "301-982-2001"
}
],
"practiceLocations": [
{
"address_1": "463 Worcester Rd Ste 205",
"address_purpose": "LOCATION",
"city": "Framingham",
"state": "MA",
"postal_code": "017015354",
"country_code": "US",
"telephone_number": "301-486-4690",
"fax_number": "301-441-8809",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CENTER FOR VASCULAR MEDICINE CT, PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CENTER FOR VASCULAR MEDICINE LLC",
"enumeration_date": "2020-04-02",
"last_updated": "2021-01-25",
"certification_date": "2021-01-25",
"status": "A",
"authorized_official_last_name": "KENNEDY",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "301-982-2000",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cromwell, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.