Stamford Health-Norwalk Radiology LLC
Organization Active NPI Diagnostic Radiology Physician · Norwalk, CT
NPI 1508545211 · NPPES record last updated Jan 31, 2024
Key facts
- NPI
- 1508545211
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- STAMFORD HEALTH-NORWALK RADIOLOGY LLC
- Practice address
- 148 East Ave Ste 1M
Norwalk, CT 06851-5721 - Phone
- (203) 276-4311
- NPI assigned
- Jul 12, 2023
- Organization subpart
- No
Authorized official
- Name
- Elizabeth Longmore
- Title
- President
- Phone
- (203) 276-7931
Practitioners 19
-
James Bauman, MD
-
Steven Bernstein, MD
-
David S Klein, MD
-
Ronald P Lee, MD
-
Andrew Chung-Ming Shih, M.D.
-
Edward B Strauss, MD
-
Evan S Wasserman, MD
-
Qadus Akram Awan, MD
-
Elizabeth Gaary, MD
-
Mia Kazanjian, M.D.
-
Bryan M Lazzara, M.D.
-
Ravi Thakur, M.D.
-
Jane Wai Chan, M.D.
-
Michael S Kelleher Jr., M.D.
-
Josef Noga, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CT, NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240221004071 | CT | Part B Supplier - Clinic/Group Practice | 6709220320 |
Receives reassigned benefits from 19 practitioners Practice locations: New Canaan, CT; Norwalk, CT |
| O20251208000125 | NY | Part B Supplier - Clinic/Group Practice | 6709220320 |
Receives reassigned benefits from 2 practitioners Practice locations: New York, NY; Scarsdale, NY |
National Provider Directory
Locations
148 East Ave
Ste 1M
Norwalk, CT 06851
Phone (203) 276-4311
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
148 East Ave Ste 1M
Norwalk, CT 06851-5721
Mailing address
148 East Ave Ste 1M
Norwalk, CT 06851-5721
Phone (203) 276-4311
Other providers in Norwalk, CT
- Savita Sreejith
- Aparna Srinivasan
- Mary E St. Juste-Prosper
- Elizabeth Jane Staak Huber
- Joseph Stallone
- Cristian Stanescu
- Star ABA LLC.
- Star Inc Lighting the Way
- Star Inc Lighting the Way
- Stark ABA LLC
All providers in Norwalk, CT · Diagnostic Radiology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.