Organization Active NPI

Dr. McHugh and Associates, P.C.

  • Customized Equipment (DME)
  • Watertown, CT
National Provider Identifier
1598769234
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
DR. MCHUGH AND ASSOCIATES, P.C.
Practice address
777 Echo Lake Rd Unit F
Watertown, CT 06795-6618
Phone
(860) 274-1773
Fax
(860) 945-6820
NPI assigned
Jun 10, 2005
Last updated
Sep 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Authorized official

Name
Mrs. Kelly J Spring
Title
Director Office Operations
Phone
(860) 274-1773

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

777 Echo Lake Rd Unit F
Watertown, CT 06795-6618

Mailing address

777 Echo Lake Rd Unit F
Watertown, CT 06795-6618
Phone (860) 274-1773

Other identifiers 2

IdentifierTypeStateIssuer
004151312MedicaidCT
004230984OtherCTCT MEDICAL ASSISTANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930006202 CT DME Supplier - Physician - Podiatry 5496640831 1 other NPI on this enrollment
Practice locations: Watertown, CT

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

333 Kennedy Dr
Ste L103
Torrington, CT 06790
Phone (860) 489-1900

777 Echo Lake Rd
Unit F
Watertown, CT 06795
Phone (860) 274-1773

Practitioners & affiliated clinicians

Practitioners 7

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": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1598769234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 ECHO LAKE RD UNIT F",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067956618",
            "telephone_number": "860-274-1773",
            "fax_number": "860-945-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 ECHO LAKE RD UNIT F",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067956618",
            "telephone_number": "860-274-1773",
            "fax_number": "860-945-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MCHUGH AND ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "SPRING",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OFFICE OPERATIONS",
        "authorized_official_telephone_number": "860-274-1773",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004151312",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT MEDICAL ASSISTANCE",
            "identifier": "004230984",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.