NPIMap

Organization Active NPI

Coastal Imaging LLC

  • Diagnostic Radiology Physician
  • Groton, CT
National Provider Identifier
1366475766
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
033667 Issued in CT
Legal business name
COASTAL IMAGING LLC
Practice address
565 Long Hill Rd
Groton, CT 06340-4166
Phone
(860) 448-6094
Fax
(860) 448-6215
NPI assigned
Jul 9, 2006
Last updated
Nov 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Authorized official

Name
Jay Duxin, M.D.
Title
Physician/Owner
Phone
(860) 448-6094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 033667 CT Primary

Addresses

Primary practice location

565 Long Hill Rd
Groton, CT 06340-4166

Mailing address

565 Long Hill Rd
Groton, CT 06340-4166
Phone (860) 448-6094

National Provider Directory

National Provider Directory

Locations

565 Long Hill Rd
Groton, CT 06340
Phone (401) 596-5695

565 Long Hill Rd
Ste 5
Groton, CT 06340
Phone (860) 448-6736

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1366475766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 LONG HILL RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404166",
            "telephone_number": "860-448-6094",
            "fax_number": "860-448-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 LONG HILL RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404166",
            "telephone_number": "860-448-6094",
            "fax_number": "860-448-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "DUXIN",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "860-448-6094",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "033667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.