Organization Active NPI

Paradigm Medical Care, LLC

  • Skilled Nursing Facility
  • Fairfield, CT
National Provider Identifier
1346408796
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
003040 Issued in CT
Legal business name
PARADIGM MEDICAL CARE, LLC
Practice address
400 Mill Plain Rd
Fairfield, CT 06824-5048
Phone
(203) 763-9452
NPI assigned
Jun 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Authorized official

Name
Mrs. Elizabeth Tan Kamlani, APRNNPI 1093718876
Title
Nurse Practitioner
Phone
(203) 763-9452

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 003040 CT Primary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X 01334712 NJ

Addresses

Primary practice location

400 Mill Plain Rd
Fairfield, CT 06824-5048

Mailing address

575 Winnepoge Dr
Fairfield, CT 06825-2562
Phone (203) 763-9452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140428000231 CT Part B Supplier - Clinic/Group Practice 5294897211 Receives reassigned benefits from 1 practitioner
Practice locations: Fairfield, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1346408796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 WINNEPOGE DR",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068252562",
            "telephone_number": "203-763-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MILL PLAIN RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245048",
            "telephone_number": "203-763-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM MEDICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-01",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "KAMLANI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "TAN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "203-763-9452",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "003040",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "01334712",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.