NPIMap

Organization Active NPI

Modern Vascular, PLLC

  • Vascular Surgery Physician
  • Ridgefield, CT
National Provider Identifier
1306421516
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
MODERN VASCULAR, PLLC
Practice address
159 Danbury Rd Unit 105
Ridgefield, CT 06877-3235
Phone
(203) 291-5335
NPI assigned
Mar 10, 2021
Last updated
Aug 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Authorized official

Name
Dr. Brittny Wiliams Howell, MDNPI 1144426727
Title
Medical Director
Phone
(917) 545-4365

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

159 Danbury Rd Unit 105
Ridgefield, CT 06877-3235

Mailing address

159 Danbury Rd Unit 105
Ridgefield, CT 06877-3235
Phone (203) 291-5335

National Provider Directory

National Provider Directory

Locations

159 Danbury Rd
Unit 105
Ridgefield, CT 06877
Phone (203) 291-5335

63 Copps Hill Rd
Ste 200
Ridgefield, CT 06877

Practitioners & affiliated clinicians

Practitioners 10

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": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1306421516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 DANBURY RD UNIT 105",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068773235",
            "telephone_number": "203-291-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 DANBURY RD UNIT 105",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068773235",
            "telephone_number": "203-291-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN VASCULAR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "BRITTNY",
        "authorized_official_middle_name": "WILIAMS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "917-545-4365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.