Organization Active NPI

Three 62 Ten Research Group, Inc

  • Research Clinic/Center
  • Bridgeport, CT
National Provider Identifier
1639790504
Registry record updated May 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Clinic/CenterTaxonomy code 261QR1100X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2020

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

Authorized official

Name
Mr. Sagar Nikhil KaushikNPI 1720609696
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.