Coastal Digestive Diseases

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

COASTAL DIGESTIVE DISEASES

Practice address

234A Bank St FL 4
New London, CT 06320-6054

Phone

(860) 442-0290

Fax

(860) 442-2136

NPI assigned

Jul 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John E Madsen Jr., MDNPI 1144286667

Title

Owner

Phone

(860) 442-0290

Specialties & licenses 1

Addresses

Practitioners 1

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.

• John Edward Madsen, M.D.

  • Gastroenterology Physician
  • New London, CT
  • NPI 1144286667
  Authorized official Same address or phone

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447459839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234A BANK ST FL 4",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063206054",
            "telephone_number": "860-442-0290",
            "fax_number": "860-442-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234A BANK ST FL 4",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063206054",
            "telephone_number": "860-442-0290",
            "fax_number": "860-442-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL DIGESTIVE DISEASES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MADSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-442-0290",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Brett Clark, D.M.D.
• Sean Clark, HS1
• Holden E Clauson, D.D.S.
• Coastal Connecticut Research LLC (CCRstudies.com)
• Coastal Digestive Care Center LLC
• Coastal Digestive Diseases PC
• Margo R. Coffey, PA-C
• Stephen Richard Cofone
• Grace Cogan
• Suzanne Cohen-Ireylikhman, MFT

• Nurse Practitioner in New London, CT
• Providers in New London, CT by specialty
• Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.