Ledge Light Medical Assocates, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

035420 Issued in CT

Legal business name

LEDGE LIGHT MEDICAL ASSOCATES, LLC

Practice address

419 Montauk Ave
New London, CT 06320-4621

Phone

(860) 442-4442

Fax

(860) 442-4446

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Craig R. Buggeln, M.D.NPI 1831197565

Title

Physician/Owner

Phone

(860) 442-4442

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Craig R Buggeln, M.D.

  • Internal Medicine Physician
  • New London, CT
  • NPI 1831197565

  Internal Medicine

  NPD Authorized official

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1376580258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 PARKWAY S",
            "address_2": "SUITE 304",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851234",
            "telephone_number": "860-442-7027",
            "fax_number": "860-444-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204621",
            "telephone_number": "860-442-4442",
            "fax_number": "860-442-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEDGE LIGHT MEDICAL ASSOCATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "BUGGELN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "860-442-4442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "035420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001354208",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maureen Leach
• Jill Lynn Leblanc
• Ruth M. Lebovitz, M.D.
• Joyce T Lecara, LPC, LADC
• Ledge Light Health District
• Katie Marie Ledoux
• Lydia Lee-Villarreal, CRNA
• Cynthia Jean Lee, L.P.C.
• Samantha Guinevere Lee, MD
• Soo Ji Lee, DMD

• All providers in New London, CT
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.