Organization Active NPI

Mdcarenow LLC

  • Internal Medicine Physician
  • Stratford, CT
National Provider Identifier
1356854400
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MDCARENOW LLC
Practice address
3000 Main St
Stratford, CT 06614-4939
Phone
(203) 683-0625
NPI assigned
Nov 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Authorized official

Name
Ananthakumar Thillainathan, MD
Title
Sole MBR
Phone
(516) 582-1948

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 53980 CT
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3000 Main St
Stratford, CT 06614-4939

Mailing address

3000 Main St
Stratford, CT 06614-4939

Other practice location 1

2044 Bridgeport Ave
Milford, CT 06460-4633
Phone (203) 878-1006

Other identifiers 2

IdentifierTypeStateIssuer
1285900621MedicaidCT
1285900621OtherNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Stratford

National Provider Directory

National Provider Directory

Locations

2044 Bridgeport Ave
Ste M
Milford, CT 06460
Phone (203) 878-1006

3000 Main St
Stratford, CT 06614
Phone (203) 683-0625

NPI Registry JSON

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

{
    "created_epoch": "1510444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1356854400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144939",
            "telephone_number": "203-683-0625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2044 Bridgeport Ave",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "CT",
            "postal_code": "064604633",
            "country_code": "US",
            "telephone_number": "203-878-1006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MDCARENOW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-12",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "THILLAINATHAN",
        "authorized_official_first_name": "ANANTHAKUMAR",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "516-582-1948",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "53980",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285900621",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285900621",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Stratford",
            "affiliation": "N",
            "address_1": "2044 Bridgeport Ave",
            "city": "Milford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064604633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stratford, CT

Sources for this page

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