Active NPI
RDR Radiology LLC
- Diagnostic Radiology Physician
- Fairfield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- RDR RADIOLOGY LLC
- Practice address
- 425 Post Rd
Fairfield, CT 06824-6232 - Phone
- (203) 418-9680
- Fax
- (203) 254-9244
- NPI assigned
- Jan 25, 2018
- Last updated
- Mar 17, 2018
- 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
- Robert Russo, MD
- Title
- President
- Phone
- (203) 538-5233
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
425 Post Rd
Fairfield, CT 06824-6232
Mailing address
4695 Main St Ste 5
Bridgeport, CT 06606-1802
Phone (203) 538-5233
Other practice location 1
2909 Main St
Stratford, CT 06614-4960
Phone (203) 673-0153
National Provider Directory
National Provider DirectoryLocations
4695 Main St
Ste 5
Bridgeport, CT 06606
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.
-
- Diagnostic Radiology Physician
- Fairfield, CT
- NPI 1114924693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1649778614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4695 MAIN ST STE 5",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066061802",
"telephone_number": "203-538-5233",
"fax_number": "203-538-5246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 POST RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246232",
"telephone_number": "203-418-9680",
"fax_number": "203-254-9244"
}
],
"practiceLocations": [
{
"address_1": "2909 Main St",
"address_purpose": "LOCATION",
"city": "Stratford",
"state": "CT",
"postal_code": "066144960",
"country_code": "US",
"telephone_number": "203-673-0153",
"fax_number": "203-378-4788",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RDR RADIOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-25",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "RUSSO",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-538-5233",
"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 Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.