Shoreline Pulmonary Associates LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

041248 Issued in CT

Legal business name

SHORELINE PULMONARY ASSOCIATES LLC

Practice address

415 Ocean Ave
New London, CT 06320-4716

Phone

(860) 437-1100

Fax

(860) 440-3311

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Niall Joseph Duhig, M.D.NPI 1578503967

Title

Owner

Phone

(860) 437-1100

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Practitioners 5

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.

• Niall J Duhig, MD

  • Pulmonary Disease Physician
  • Westerly, RI
  • NPI 1578503967
  Authorized official Same address or phone
• Paul Robert Bourguignon, M.D.

  • Vascular Surgery Physician
  • New London, CT
  • NPI 1154372175
  NPD (past)
• Jenine Decaprio Gesino, PA-C

  • Surgical Physician Assistant
  • New London, CT
  • NPI 1134132244
  NPD (past)
• Priscilla Ellen Quilter, APRN

  • Nurse Practitioner
  • Norwich, CT
  • NPI 1447336839
  NPD (past)
• Stephen Mark Summers, M.D.

  • Pulmonary Disease Physician
  • Worcester, MA
  • NPI 1841233269
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1396804654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 OCEAN AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204716",
            "telephone_number": "860-437-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 OCEAN AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204716",
            "telephone_number": "860-437-1100",
            "fax_number": "860-440-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE PULMONARY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "DUHIG",
        "authorized_official_first_name": "NIALL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-437-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "041248",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DD5389",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7090035",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004263711",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Koleyatu Sheriff, LMSW
• Gina Shin
• Jason A Shirley, MSW
• Shoreline Medical Supply, LLC
• Shoreline Periodontics, PC
• Shri Kris Verma MD
• Shri Verma MD Gastroenterology LLC
• Suzy Shukovsky, MD
• Waleed Tariq Siddiqui, MD
• Brooke H Sikora, PA-C

• Specialist in New London, CT
• Providers in New London, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.