Christus Medical Group

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CHRISTUS MEDICAL GROUP

Practice address

587 Burnside Ave
East Hartford, CT 06108-3537

Phone

(860) 528-8200

NPI assigned

Aug 10, 2007

Last updated

Jul 21, 2022By 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

Dr. Edwin Amobi Njoku, M.D.NPI 1568428449

Title

President

Phone

(860) 528-8200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Edwin Amobi Njoku, M.D.

  • Internal Medicine Physician
  • East Hartford, CT
  • NPI 1568428449
  NPD (past) Authorized official

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1477745750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 BURNSIDE AVE",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083537",
            "telephone_number": "860-528-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 BURNSIDE AVE",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083537",
            "telephone_number": "860-528-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTUS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NJOKU",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "AMOBI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-528-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004243482",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Charles
• Quoc Chau, PHARMD.
• Xiangbin Chen
• Mark T Chin Jr., M.D.
• Chosen to Give Home Health Care Service (Chosen to Give Home Care, LLC)
• Thomas Edward Ciesielski, M.D.
• Citrine Homecare Solutions, LLC
• Carol Marjorie Clarke-Montaque
• Brooke Josie Clavet
• Mariann M Clubb, M.D.

• Primary Care Clinic/Center in East Hartford, CT
• Providers in East Hartford, CT by specialty
• Primary Care Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.