Primed Gastroenterology, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0276 Issued in CT

Legal business name

PRIMED GASTROENTEROLOGY, LLC

Practice address

888 White Plains Rd
Suite 210
Trumbull, CT 06611-4552

Phone

(203) 268-1193

NPI assigned

Aug 3, 2006

Organization subpart

Yes

Parent organization

PRIMED, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Edwin Levine, MD

Title

Medical Director

Phone

(203) 268-1193

Specialties & licenses 1

Addresses

Other names 1

• Fairfield County Endoscopy Center Doing business as

Part of

Primed

Locations

Practitioners 1

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

• Nicholas Bertini, M.D.

  • Internal Medicine Physician
  • Trumbull, CT
  • NPI 1952360588
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1407864762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 WHITE PLAINS RD",
            "address_2": "SUITE 210",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114552",
            "telephone_number": "203-268-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 WHITE PLAINS RD",
            "address_2": "SUITE 210",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114552",
            "telephone_number": "203-268-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMED GASTROENTEROLOGY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMED, LLC",
        "enumeration_date": "2006-08-03",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "203-268-1193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CT",
            "license": "0276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairfield County Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Lawlor Pospisil, D.O.
• Alexis Victoria Possidento
• Camilla Powierza
• Morgan Randall Pratt, MD
• Ioana Preda, M.D.
• Primed, LLC
• Prinstar1 Home Care, LLC
• Progressive Diagnostics One, LLC
• Progressive Diagnostics, LLC
• Nicole Provornov

• Ambulatory Surgical Clinic/Center in Trumbull, CT
• Providers in Trumbull, CT by specialty
• Ambulatory Surgical Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.