Organization Active NPI

Gastroenterology Center of New England LLC

  • Specialist
  • Woodbridge, CT
National Provider Identifier
1316142839
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
031648 Issued in CT
Legal business name
GASTROENTEROLOGY CENTER OF NEW ENGLAND LLC
Practice address
245 Amity Rd
Suite 206
Woodbridge, CT 06525-2258
Phone
(203) 495-8844
Fax
(203) 495-9068
NPI assigned
Jun 15, 2007
Last updated
Jul 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

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

Authorized official

Name
Dr. Howard Mitchell Likier, M.D.
Title
Physician Owner
Phone
(203) 495-8844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 031648 CT Primary

Addresses

Primary practice location

245 Amity Rd
Suite 206
Woodbridge, CT 06525-2258

Mailing address

245 Amity Rd
Suite 206
Woodbridge, CT 06525-2258
Phone (203) 495-8844

Other identifiers 9

IdentifierTypeStateIssuer
2V1274OtherCTHEALTHNET
NHS166OtherCTOXFORD
2727102OtherCTAETNA
001316480MedicaidCT
2904352OtherCTUNITED HEALTH CARE
031648OtherCTCONNECTICARE
010031648CT01OtherCTANTHEM
0803110002OtherCTCIGNA
AA11990OtherCTHARVARD PILGRAM

National Provider Directory

National Provider Directory

Locations

245 Amity Rd
Ste 206
Woodbridge, CT 06525
Phone (203) 495-8844

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1316142839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 AMITY RD",
            "address_2": "SUITE 206",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252258",
            "telephone_number": "203-495-8844",
            "fax_number": "203-495-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 AMITY RD",
            "address_2": "SUITE 206",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252258",
            "telephone_number": "203-495-8844",
            "fax_number": "203-495-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY CENTER OF NEW ENGLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "LIKIER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "203-495-8844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "031648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V1274",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "NHS166",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2727102",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001316480",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2904352",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "031648",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "010031648CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0803110002",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRAM",
            "identifier": "AA11990",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.