NPIMap

Organization Active NPI

Primed, LLC

  • Podiatrist
  • Bridgeport, CT
National Provider Identifier
1215271713
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PRIMED, LLC
Practice address
4699 Main St
Suite 211
Bridgeport, CT 06606-1830
Phone
(203) 374-3464
Fax
(203) 374-1020
NPI assigned
Nov 21, 2012
Last updated
Nov 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Authorized official

Name
Amit Rastogi, M.D.NPI 1871547588
Title
President
Phone
(203) 374-6162

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU Primary
Primary Podiatric Medicine Podiatrist 213EP1101X NU
Foot Surgery Podiatrist 213ES0131X NU

Addresses

Primary practice location

4699 Main St
Suite 211
Bridgeport, CT 06606-1830

Mailing address

4699 Main St
Suite 211
Bridgeport, CT 06606-1830
Phone (203) 374-3464

National Provider Directory

National Provider Directory
Tax ID family
Primed2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

NPI Registry JSON

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1215271713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4699 MAIN ST",
            "address_2": "SUITE 211",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061830",
            "telephone_number": "203-374-3464",
            "fax_number": "203-374-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4699 MAIN ST",
            "address_2": "SUITE 211",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061830",
            "telephone_number": "203-374-3464",
            "fax_number": "203-374-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "RASTOGI",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-374-6162",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.