Landmark Medical of Connecticut PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LANDMARK MEDICAL OF CONNECTICUT PC

Practice address

1400 Computer Dr Ste 301
Westborough, MA 01581-1790

Phone

(657) 400-5180

NPI assigned

May 4, 2021

Last updated

Jan 30, 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

Christopher Dennis, MDNPI 1811068349

Title

Chief BH Officer

Phone

(657) 400-5180

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 3

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.

• Amy N Kaiser, NP

  • Adult Health Nurse Practitioner
  • Germantown, TN
  • NPI 1477001055

  CT

  Medicare reassignment NPD
• Gail Labadia, M.D.

  • Internal Medicine Physician
  • Derby, CT
  • NPI 1649202144
  Medicare reassignment NPD
• Christopher R Dennis, MD

  • Psychiatry Physician
  • Huntington Beach, CA
  • NPI 1811068349
  Authorized official Same address or phone

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1245813419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7755 CENTER AVE STE 630",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926479152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 COMPUTER DR STE 301",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811790",
            "telephone_number": "657-400-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK MEDICAL OF CONNECTICUT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CHIEF BH OFFICER",
        "authorized_official_telephone_number": "657-400-5180",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mara Lacava, OTR/L
• Julia Lacks, PH.D.
• Andreas None Laddis, M.D.
• Kristen Lagasse, DPT
• Michael Roger Laliberte
• Landmark Medical of Massachusetts PLLC
• Landmark Medical of Massachusetts PLLC
• Ngyeania Tuimamie Lankah
• Lasalle Health Services
• Melissa Joy Lasoff, LCSW

• General Practice Physician in Westborough, MA
• Providers in Westborough, MA by specialty
• General Practice Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.