Active NPI
Three 62 Ten Research Group, Inc
- Research Clinic/Center
- Bridgeport, CT
National Provider Identifier
1639790504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Research Clinic/Center
- Legal business name
- THREE 62 TEN RESEARCH GROUP, INC
- Practice address
- 570 Barnum Ave Ste 108
Bridgeport, CT 06608-2446 - Phone
- (917) 603-4688
- NPI assigned
- May 2, 2020
- Last updated
- May 2, 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
- Mr. Sagar Nikhil Kaushik
- Title
- VP Research and Development
- Phone
- (917) 603-4688
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Research Clinic/Center | 261QR1100X | Primary |
Addresses
Primary practice location
570 Barnum Ave Ste 108
Bridgeport, CT 06608-2446
Mailing address
570 Barnum Ave Ste 108
Bridgeport, CT 06608-2446
National Provider Directory
National Provider DirectoryLocations
570 Barnum Ave
Ste 108
Bridgeport, CT 06608
Phone (917) 603-4688
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Biomedical Engineer
- Bridgeport, CT
- NPI 1720609696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588377600000",
"number": "1639790504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 BARNUM AVE STE 108",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066082446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 BARNUM AVE STE 108",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066082446",
"telephone_number": "917-603-4688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THREE 62 TEN RESEARCH GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-02",
"last_updated": "2020-05-02",
"certification_date": "2020-05-02",
"status": "A",
"authorized_official_last_name": "KAUSHIK",
"authorized_official_first_name": "SAGAR",
"authorized_official_middle_name": "NIKHIL",
"authorized_official_title_or_position": "VP RESEARCH AND DEVELOPMENT",
"authorized_official_telephone_number": "917-603-4688",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Research",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.