NPIMap

Organization Active NPI

Pain Management Associates of Connecticut, P.C.

  • Interventional Pain Medicine Physician
  • Ridgefield, CT
National Provider Identifier
1467986638
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
32179 Issued in CT
Legal business name
PAIN MANAGEMENT ASSOCIATES OF CONNECTICUT, P.C.
Practice address
38B Grove St
Ridgefield, CT 06877-4665
Phone
(203) 325-5700
Fax
(203) 325-8080
NPI assigned
Apr 14, 2017
Last updated
Apr 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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

Authorized official

Name
Dr. Vincent R Carlesi, M.D.
Title
President
Phone
(203) 325-5700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 32179 CT
Interventional Pain Medicine Physician 208VP0014X 32179 CT Primary

Addresses

Primary practice location

38B Grove St
Ridgefield, CT 06877-4665

Mailing address

38B Grove St
Ridgefield, CT 06877-4665
Phone (203) 325-5700

National Provider Directory

National Provider Directory

Locations

778 Long Ridge Rd
#2
Stamford, CT 06902
Phone (203) 322-5714

999 Summer St
Ste 304
Stamford, CT 06905
Phone (203) 325-5700

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1467986638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38B GROVE ST",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774665",
            "telephone_number": "203-325-5700",
            "fax_number": "203-325-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38B GROVE ST",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774665",
            "telephone_number": "203-325-5700",
            "fax_number": "203-325-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT ASSOCIATES OF CONNECTICUT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "CARLESI",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-325-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "32179",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CT",
            "license": "32179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.