NPIMap

Organization Active NPI

Pain & Spine Specialists of Connecticut, LLC

  • Non-Pharmacy Dispensing Site
  • Trumbull, CT
National Provider Identifier
1528535119
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC
Practice address
5520 Park Ave Ste WP2-200
Trumbull, CT 06611-3463
Phone
(203) 743-7264
Fax
(203) 792-3920
NPI assigned
Nov 1, 2018
Organization subpart
Yes
Parent organization
PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Authorized official

Name
David C Levi
Title
Medical Doctor
Phone
(203) 792-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

5520 Park Ave Ste WP2-200
Trumbull, CT 06611-3463

Mailing address

11350 McCormick Rd
Executive Plaza 1, Suite 501
Hunt Valley, MD 21031
Phone (410) 329-1071

National Provider Directory

National Provider Directory
Tax ID family
Pain Spine Specialists of7 organizations share this tax ID, including this one
Part of
Pain Spine Specialists of

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

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": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1528535119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD",
            "address_2": "EXECUTIVE PLAZA 1, SUITE 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "21031",
            "telephone_number": "410-329-1071",
            "fax_number": "410-329-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 PARK AVE STE WP2-200",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113463",
            "telephone_number": "203-743-7264",
            "fax_number": "203-792-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "LEVI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "203-792-7246"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.