Greater Waterbury Imaging Center Limited Partnership

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

GREATER WATERBURY IMAGING CENTER LIMITED PARTNERSHIP

Practice address

68 Robbins St
Waterbury, CT 06708-2613

Phone

(203) 573-7674

Fax

(203) 573-6255

NPI assigned

Apr 19, 2006

Last updated

May 5, 2011By 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

Mr. Keith S. Kelson

Title

Chief Financial Officer

Phone

(949) 282-6000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Prospect Waterbury, Inc.

  • General Acute Care Hospital
  • Waterbury, CT
  • NPI 1477902641

  Member Of

  NPD member

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.

• Kenneth S Allen, MD

  • Diagnostic Ultrasound Physician
  • Waterbury, CT
  • NPI 1528025913

  Diagnostic Radiology

  NPD
• Duncan J Belcher, MD

  • Diagnostic Ultrasound Physician
  • Waterbury, CT
  • NPI 1245295054

  Pediatric Radiology

  NPD
• John Deleon, MD

  • Diagnostic Ultrasound Physician
  • Waterbury, CT
  • NPI 1245297654

  Diagnostic Radiology

  NPD
• Andrew J Lawson, MD

  • Diagnostic Radiology Physician
  • Waterbury, CT
  • NPI 1861459125
  NPD
• Marco Verga, MD

  • Diagnostic Radiology Physician
  • Waterbury, CT
  • NPI 1689631947
  NPD
• Stewart Ross Berliner, MD

  • Diagnostic Radiology Physician
  • Armonk, NY
  • NPI 1306801378
  NPD

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1245295401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150473",
            "address_2": "DEPT. 335",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061150473",
            "telephone_number": "949-282-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 ROBBINS ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082613",
            "telephone_number": "203-573-7674",
            "fax_number": "203-573-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER WATERBURY IMAGING CENTER LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "KELSON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "949-282-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Granatek, MS,BA
• Michael John Granieri, D.O.
• Nickeshia Grant
• Nicole Grant
• Dori Grasso
• Greater Waterbury Oral & Maxillofacial Surgeons LLC
• Emily Greco
• Peter C Greco, MD
• Monica Green-Connell, MSPT CSCS
• Amanda Green

• Physiological Laboratory in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Physiological Laboratory in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.