NPIMap

Organization Active NPI

Cardiology Associates of Greater Waterbury LLC

  • Cardiovascular Disease Physician
  • Waterbury, CT
National Provider Identifier
1407159833
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOLOGY ASSOCIATES OF GREATER WATERBURY LLC
Doing business as
Cardiology Associates of Greater Waterbury, LLC
Practice address
455 Chase Pkwy
Waterbury, CT 06708
Phone
(203) 573-1435
Fax
(203) 755-7433
NPI assigned
Dec 7, 2010
Last updated
Aug 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Authorized official

Name
Dr. Dennis L Dobkin, MDNPI 1902833379
Title
Board Member of Physician Council
Phone
(203) 573-1435

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

455 Chase Pkwy
Waterbury, CT 06708

Mailing address

455 Chase Pkwy
Waterbury, CT 06708-3352
Phone (203) 573-1435

Other names 1

  • Cardiology Associates of Greater Waterbury, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110318000000 CT Part B Supplier - Clinic/Group Practice 7113100868 Receives reassigned benefits from 18 practitioners
Practice locations: Waterbury, CT

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1407159833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 CHASE PKWY",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083352",
            "telephone_number": "203-573-1435",
            "fax_number": "203-755-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 CHASE PKWY",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06708",
            "telephone_number": "203-573-1435",
            "fax_number": "203-755-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY ASSOCIATES OF GREATER WATERBURY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "DOBKIN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BOARD MEMBER OF PHYSICIAN COUNCIL",
        "authorized_official_telephone_number": "203-573-1435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiology Associates of Greater Waterbury, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cardiology Associates of Greater Waterbury, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.