Physicians Services of Northeast CT LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

004046512 Issued in CT

Legal business name

PHYSICIANS SERVICES OF NORTHEAST CT LLC

Practice address

6 S Main St
Putnam, CT 06260-1906

Phone

(860) 963-1077

Fax

(860) 963-1056

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Renee D Turski

Title

Medicare Admin

Phone

(860) 963-1077

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1659403855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 S MAIN ST",
            "address_2": "PO BOX 619",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601906",
            "telephone_number": "860-963-1077",
            "fax_number": "860-963-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 S MAIN ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601906",
            "telephone_number": "860-963-1077",
            "fax_number": "860-963-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS SERVICES OF NORTHEAST CT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "TURSKI",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICARE ADMIN",
        "authorized_official_telephone_number": "860-963-1077",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "004046512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physician Services of Northeast
• Physician Services of Northeast
• Physician Services of Northeast
• Physician Services of Northeast
• Physician Services of Northeast Connecticut, LLC
• Violet Pietrowski
• Johanna Pike, LPC, MAAT
• Eddy Pimental
• Micaela Pina, DPT
• Amy Pontarelli

• Durable Medical Equipment & Medical Supplies in Putnam, CT
• Providers in Putnam, CT by specialty
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.