Promed Preferred CT, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PROMED PREFERRED CT, PC

Practice address

280 Trumbull St FL 12
Hartford, CT 06103-5303

Phone

(615) 499-3165

NPI assigned

Jul 8, 2025

Organization subpart

No

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

Authorized official

Name

Lev Grinman, MD

Title

President

Phone

(615) 499-3165

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.

• De-Andra Warberton, NP

  • Adult Health Nurse Practitioner
  • New Haven, CT
  • NPI 1073320008
  Medicare reassignment NPD
• Mordechai Herman, FNP-C

  • General Practice Physician
  • Jackson, NJ
  • NPI 1811849540

  CT

  Medicare reassignment
• Frank Suppa, D.O

  • Family Medicine Physician
  • Far Rockaway, NY
  • NPI 1700199213
  NPD (past)

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1295625382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 CRESTHILL AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 TRUMBULL ST FL 12",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061035303",
            "telephone_number": "615-499-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED PREFERRED CT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-08",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "GRINMAN",
        "authorized_official_first_name": "LEV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-499-3165",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Procare Counseling CT, LLC
• Proficient Nurse Practitioners PNP
• Project Thrive CT
• Prolabs Diagnostics
• Norbert Derrek Promagan, MD
• Carla Emmanuelle Prophete, PA-C
• Nicole Prouty, APRN
• Kayla Marie Provenzano, MD
• Lisa Ma Provera
• Bryan Thomas Proxee, PA

• Internal Medicine Physician in Hartford, CT
• Providers in Hartford, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.