Organization Active NPI

Ralph J. Laguardia, M.D, P.C.

  • Internal Medicine Physician
  • Mansfield Center, CT
National Provider Identifier
1447580014
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RALPH J. LAGUARDIA, M.D, P.C.
Practice address
10 Higgins Hwy
Suite 4
Mansfield Center, CT 06250-1437
Phone
(860) 456-7101
Fax
(860) 423-0464
NPI assigned
Jan 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Authorized official

Name
Dr. Ralph J. Laguardia, M.D.NPI 1902805781
Title
President
Phone
(860) 456-7101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10 Higgins Hwy
Suite 4
Mansfield Center, CT 06250-1437

Mailing address

10 Higgins Hwy
Suite 4
Mansfield Center, CT 06250-1437
Phone (860) 456-7101

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100106000720 CT Part B Supplier - Clinic/Group Practice 8022159573 Receives reassigned benefits from 1 practitioner
Practice locations: Mansfield Center, CT

National Provider Directory

National Provider Directory

Locations

10 Higgins Hwy
Ste 4
Mansfield Ctr, CT 06250
Phone (860) 456-7101

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1447580014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HIGGINS HWY",
            "address_2": "SUITE 4",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501437",
            "telephone_number": "860-456-7101",
            "fax_number": "860-423-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HIGGINS HWY",
            "address_2": "SUITE 4",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501437",
            "telephone_number": "860-456-7101",
            "fax_number": "860-423-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH J. LAGUARDIA, M.D, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "LAGUARDIA",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-456-7101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield Center, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.