Charles Svitlik Jr., PH.D, BCLD

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

Practice address

131 Quinn St
Naugatuck, CT 06770-2616

Phone

(203) 729-6230

NPI assigned

Aug 12, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Molecular Diagnostic Laboratory LLC

  • Clinical Medical Laboratory
  • Wallingford, CT
  • NPI 1730292822
  NPD
• Genophyll Enterprises LLC

  • Clinical Medical Laboratory
  • Monmouth Junction, NJ
  • NPI 1306439138
  NPD

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1629706908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 CLOUGH RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067081895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 QUINN ST",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067702616",
            "telephone_number": "203-729-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVITLIK",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D, BCLD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stokes Counseling Services LLC
• Michael Stokes III, LPC
• Jennifer L Stook, LCSW
• Barbara Ann Stoudmire, PMHNP-BC, APRN
• Sarah Sullivan, PA-C
• Angela Swirski
• Marisha Dhiren Tamakuwala, RPT
• Lawrence J Tannenbaum, D.D.S
• Sandy Teng, PHARMD
• The Stop & Shop Supermarket Company, LLC

• Clinical Laboratory Director (Non-physician) in Naugatuck, CT
• Providers in Naugatuck, CT by specialty
• Clinical Laboratory Director (Non-physician) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.