Northeast Radiology

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

NORTHEAST RADIOLOGY

Doing business as

Candlewood

Practice address

103 Newtown Rd
Danbury, CT 06810-4143

Phone

(845) 278-6200

NPI assigned

Jun 19, 2007

Organization subpart

No

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

Authorized official

Name

Diana Kessler

Title

Credentialing

Phone

(845) 278-6200

Specialties & licenses 1

Addresses

Other names 1

• Candlewood Doing business as

Locations

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186012800000",
    "number": "1629273784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 DANBURY RD",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105095412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 NEWTOWN RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104143",
            "telephone_number": "845-278-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST RADIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-08-02",
        "status": "A",
        "authorized_official_last_name": "KESSLER",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "845-278-6200"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Candlewood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Marie Nolan, LCSW
• Phaedra Nolan
• North Street Physical Medicine and Rehabilitation, PC
• Northeast Hearing LLC (Miracle Ear)
• Northeast Implant & Oral Surgery, PC
• Northeast Radiology of Connecticut, LLC
• Northeast Radiology of Connecticut, LLC
• Northeast Radiology of Connecticut, LLC
• Northeast Radiology PC
• Northeast Radiology PC

• Diagnostic Radiology Physician in Danbury, CT
• Providers in Danbury, CT by specialty
• Diagnostic Radiology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; 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.