Organization Active NPI

Regenerative Medicine Connecticut PLLC

Doing business as QC Kinetix

  • Pain Medicine Physician
  • New Haven, CT
National Provider Identifier
1558125708
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
REGENERATIVE MEDICINE CONNECTICUT PLLC
Doing business as
QC Kinetix
Practice address
1 Long Wharf Dr Ste 303
New Haven, CT 06511-5944
Phone
(860) 270-0755
Fax
(413) 305-1867
NPI assigned
Feb 8, 2024
Last updated
Feb 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Mrs. Emily Nardone
Title
Owner
Phone
(202) 841-7339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X NU Primary

Addresses

Primary practice location

1 Long Wharf Dr Ste 303
New Haven, CT 06511-5944

Mailing address

10 Whittier Rd
Wellesley, MA 02481-5236
Phone (202) 841-7339

Other names 1

  • QC Kinetix Doing business as

National Provider Directory

National Provider Directory

Locations

1 Long Wharf Dr
Ste 303
New Haven, CT 06511
Phone (860) 270-0755

NPI Registry JSON

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1558125708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WHITTIER RD",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815236",
            "telephone_number": "202-841-7339",
            "fax_number": "413-305-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LONG WHARF DR STE 303",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115944",
            "telephone_number": "860-270-0755",
            "fax_number": "413-305-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE MEDICINE CONNECTICUT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "NARDONE",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-841-7339",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QC Kinetix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.