NPIMap

Organization Active NPI

CT Men's Health, LLC

  • General Practice Physician
  • Cromwell, CT
National Provider Identifier
1366804452
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CT MEN'S HEALTH, LLC
Practice address
154 West St
Suite a
Cromwell, CT 06416-4400
Phone
(203) 533-8259
NPI assigned
Mar 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Authorized official

Name
David Y Landi, EMT-P
Title
Owner/President of Patient Care Ser
Phone
(203) 533-8259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

154 West St
Suite a
Cromwell, CT 06416-4400

Mailing address

154 West St
Suite a
Cromwell, CT 06416-4400

National Provider Directory

National Provider Directory

Locations

154 West St
Ste A
Cromwell, CT 06416
Phone (203) 533-8259

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1366804452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 WEST ST",
            "address_2": "SUITE A",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064164400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 WEST ST",
            "address_2": "SUITE A",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064164400",
            "telephone_number": "203-533-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT MEN'S HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "LANDI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER/PRESIDENT OF PATIENT CARE SER",
        "authorized_official_telephone_number": "203-533-8259",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cromwell, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.