Active NPI
Northeast Radiology of CT LLC
- Diagnostic Radiology Physician
- New Milford, CT
National Provider Identifier
1639168115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- NORTHEAST RADIOLOGY OF CT LLC
- Practice address
- 21 Elm St
New Milford, CT 06776-2915 - Phone
- (860) 355-2611
- NPI assigned
- Oct 18, 2005
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Nadel, MD
- Title
- President
- Phone
- (845) 278-6200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
21 Elm St
New Milford, CT 06776-2915
Mailing address
3839 Danbury Rd
Brewster, NY 10509-5412
Phone (845) 278-6200
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1639168115",
"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",
"telephone_number": "845-278-6200",
"fax_number": "845-278-7802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 ELM ST",
"city": "NEW MILFORD",
"state": "CT",
"postal_code": "067762915",
"telephone_number": "860-355-2611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST RADIOLOGY OF CT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NADEL",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "845-278-6200",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Milford, CT
Sources for this page
- 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.