Advanced Vein Associates PLLC

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

Legal business name

ADVANCED VEIN ASSOCIATES PLLC

Practice address

2020 Norwich New London Tpke Ste 12
Uncasville, CT 06382-1374

Phone

(860) 892-8488

Fax

(860) 892-8499

NPI assigned

Feb 26, 2019

Organization subpart

No

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

Authorized official

Name

Peter S Hahn, MDNPI 1184690703

Title

Owner

Phone

(860) 892-8488

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

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

• Peter S Hahn, M.D.

  • Internal Medicine Physician
  • Uncasville, CT
  • NPI 1184690703

  Cardiovascular Disease, CT

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1447717434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 NORWICH NEW LONDON TPKE STE 12",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063821374",
            "telephone_number": "860-892-8488",
            "fax_number": "860-892-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 NORWICH NEW LONDON TPKE STE 12",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063821374",
            "telephone_number": "860-892-8488",
            "fax_number": "860-892-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED VEIN ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-892-8488",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1184690703",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Abbey, NCC LPC ADHD-CCSP
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• Judith Olson Applegate, APRN
• Bethany Grace Arabic
• Michel-Ange Aurelus-Joseph

• All providers in Uncasville, CT
• Clinical Cardiac Electrophysiology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.