Rheumatology Specialists of Connecticut, Inc.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

037380 Issued in CT

Legal business name

RHEUMATOLOGY SPECIALISTS OF CONNECTICUT, INC.

Practice address

1504 Sullivan Ave
South Windsor, CT 06074-2711

Phone

(860) 432-8400

NPI assigned

Jan 25, 2018

Organization subpart

No

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

Authorized official

Name

Hung Tan

Title

Practice Manager

Phone

(860) 432-8400

Specialties & licenses 1

Addresses

Tax ID family

Rheumatology Specialists of Connecticut Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Rheumatology Specialists of Connecticut, Inc.

  • Non-Pharmacy Dispensing Site
  • Manchester, CT
  • NPI 1386571081
  NPD tax ID
• Rheumatology Specialists of Connecticut, Inc.

  • Rheumatology Physician
  • South Windsor, CT
  • NPI 1497270847
  NPD tax ID
• Rheumatology Specialists of Connecticut, Inc.

  • Rheumatology Physician
  • South Windsor, CT
  • NPI 1871934364
  NPD tax ID

Practitioners 1

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

• Timothy Edward Quan, M.D.

  • Rheumatology Physician
  • South Windsor, CT
  • NPI 1649227208
  NPD (past)

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1356849335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 SULLIVAN AVE",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742711",
            "telephone_number": "860-432-8400",
            "fax_number": "860-432-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 SULLIVAN AVE",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742711",
            "telephone_number": "860-432-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 Tamarack Ave",
            "address_purpose": "LOCATION",
            "city": "South Windsor",
            "state": "CT",
            "postal_code": "060745561",
            "country_code": "US",
            "telephone_number": "860-432-8400",
            "fax_number": "860-432-8430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RHEUMATOLOGY SPECIALISTS OF CONNECTICUT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "HUNG",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "860-432-8400"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CT",
            "license": "037380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rheumatology Specialists of Connecticut, Inc.
• Rheumatology Specialists of Connecticut, Inc.
• Rheumatology Specialists of Connecticut, Inc.
• Katherine Riddle
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• Rheumatology Physician in South Windsor, CT
• Providers in South Windsor, CT by specialty
• Rheumatology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.