Connecticut Neurocare, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

033253 Issued in CT

Legal business name

CONNECTICUT NEUROCARE, LLC

Practice address

455 Lewis Ave
Suite 202
Meriden, CT 06451-2121

Phone

(203) 630-1000

Fax

(203) 413-3333

NPI assigned

Jan 30, 2007

Last updated

Aug 22, 2020By 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. Sujai D Nath, MDNPI 1255337382

Title

Managing Member

Phone

(203) 630-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Sujai Deep Nath, M.D.

  • Neurology Physician
  • Boca Raton, FL
  • NPI 1255337382
  NPD (past) Authorized official
• Hamid Sami, MD, MSC

  • Neurology Physician
  • Wallingford, CT
  • NPI 1750327482
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619014834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 LEWIS AVE",
            "address_2": "SUITE 202",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064512121",
            "telephone_number": "203-630-1000",
            "fax_number": "203-413-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 LEWIS AVE",
            "address_2": "SUITE 202",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064512121",
            "telephone_number": "203-630-1000",
            "fax_number": "203-413-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT NEUROCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NATH",
        "authorized_official_first_name": "SUJAI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "203-630-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "033253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255337382",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connecticut CVS Pharmacy, L.L.C. (CVS Pharmacy # 00865)
• Connecticut CVS Pharmacy, L.L.C. (CVS Pharmacy # 06807)
• Connecticut CVS Pharmacy, L.L.C. (CVS Pharmacy # 02018)
• Connecticut Dental Partners, LLC (CT Dental Partners)
• Connecticut Nephrology Associates LLC
• Connecticut Neurological Specialist, LLC (CNS, LLC)
• Connecticut Neurosurgery PC
• Connecticut Oral & Maxillofacial Surgery Centers, LLC
• Connecticut Oral & Maxillofacial Surgery Centers, LLC
• Connecticut Sleep Medicine, LLC

• Specialist in Meriden, CT
• Providers in Meriden, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.