Ibeam Medical Connecticut, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

IBEAM MEDICAL CONNECTICUT, LLC

Practice address

35-31 Talcott Road
Suite 291
Vernon, CT 06066

Phone

(866) 214-4656

NPI assigned

Apr 22, 2015

Last updated

Apr 22, 2015By 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

Neil Costello

Title

Manager

Phone

(866) 214-4656

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1255728770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35-31 TALCOTT ROAD",
            "address_2": "SUITE 291",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "06066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35-31 TALCOTT ROAD",
            "address_2": "SUITE 291",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "06066",
            "telephone_number": "866-214-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBEAM MEDICAL CONNECTICUT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "866-214-4656"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Hollister
• Amanda Rose Horn, MSW
• Judy Huang-Bulger, M.D.
• Chase Ernest Hubbard, DPT, PT
• Harold Hutensky, DDS
• Elizabeth Anne Ibey, MSOTRL
• Maryann Igoe, APRN
• Integrated Dermatology of Vernon, PLLC
• Integrated Rehabilitation Services Limited Partnership
• Integrated Rehabilitation Services, LLC

• Durable Medical Equipment & Medical Supplies in Vernon, CT
• Providers in Vernon, CT by specialty
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.