Bond Street Partners, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

002370 Issued in CT

Legal business name

BOND STREET PARTNERS, LLC

Practice address

68 Walnut Tree Hill Rd
Sandy Hook, CT 06482-1073

Phone

(203) 257-3130

NPI assigned

Sep 23, 2015

Organization subpart

No

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

Authorized official

Name

John Matthew Lujanac, APRN

Title

Member

Phone

(203) 257-3130

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Medical Hypnosis Center of Sandy Hook LLC Former legal business name

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1356710040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 WALNUT TREE HILL RD",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 WALNUT TREE HILL RD",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821073",
            "telephone_number": "203-257-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOND STREET PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "LUJANAC",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-257-3130",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "002370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008062900",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500001276",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Hypnosis Center of Sandy Hook LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Amanda Bascetta, MS
• Be Driven LLC
• Patricia Becker, LCSW
• Richard A Berning, M.D.
• Phyllis Bettino, LMFT
• Julia Brockett
• Janet Burke, BCBA-D
• Sabrina Lyn Byrne, A.T.C
• Cara Jean Cacciabaudo, APRN
• Kimberly Caires

• Family Nurse Practitioner in Sandy Hook, CT
• Providers in Sandy Hook, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.