NPIMap

Organization Active NPI

Connecticut Medical Group, LLC

  • Primary Care Nurse Practitioner
  • Hamden, CT
National Provider Identifier
1366504227
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
CONNECTICUT MEDICAL GROUP, LLC
Practice address
2989 Dixwell Ave
Hamden, CT 06518-3501
Phone
(203) 248-3013
Fax
(203) 248-2878
NPI assigned
Dec 15, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Richard Mangi, M.D.NPI 1619976917
Title
President
Phone
(203) 248-3013

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 9

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NU Primary
Allergy Physician 207KA0200X NU
Internal Medicine Physician 207R00000X NU
Allergy & Immunology (Internal Medicine) Physician 207RA0201X NU
Cardiovascular Disease Physician 207RC0000X NU
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU
Gastroenterology Physician 207RG0100X NU
Pulmonary Disease Physician 207RP1001X NU
Rheumatology Physician 207RR0500X NU

Addresses

Primary practice location

2989 Dixwell Ave
Hamden, CT 06518-3501

Mailing address

2989 Dixwell Ave
Hamden, CT 06518-3501
Phone (203) 248-3013

National Provider Directory

National Provider Directory

Locations

2989 Dixwell Ave
Hamden, CT 06518
Phone (203) 248-3013

9 Washington Ave
Fl 2
Hamden, CT 06518
Phone (860) 704-9153

575 Boston Post Rd
Orange, CT 06477
Phone (203) 795-0568

1 Bradley Rd
Ste 709
Woodbridge, CT 06525
Phone (203) 397-3950

Practitioners & affiliated clinicians

Practitioners 62

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.

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1366504227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2989 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183501",
            "telephone_number": "203-248-3013",
            "fax_number": "203-248-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2989 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183501",
            "telephone_number": "203-248-3013",
            "fax_number": "203-248-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MANGI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-248-3013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.