Organization Active NPI

Northeast Radiology of Connecticut, LLC

  • Diagnostic Radiology Physician
  • Danbury, CT
National Provider Identifier
1669461133
Registry record updated Jan 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
NORTHEAST RADIOLOGY OF CONNECTICUT, LLC
Practice address
73 Sand Pit Rd
Danbury, CT 06810-4042
Phone
(203) 798-2003
Fax
(203) 791-2583
NPI assigned
Oct 18, 2005
Last updated
Jan 12, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHEAST RADIOLOGY OF CONNECTICUT, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 12, 2018

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

Authorized official

Name
Howard Lee, MDNPI 1396728796
Title
President
Phone
(849) 278-6200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

73 Sand Pit Rd
Danbury, CT 06810-4042

Mailing address

3839 Danbury Rd
Brewster, NY 10509-5412
Phone (845) 278-6200

National Provider Directory

National Provider Directory
Part of
Northeast Radiology of CT LLC

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": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515715200000",
    "number": "1669461133",
    "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": "73 SAND PIT RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104042",
            "telephone_number": "203-798-2003",
            "fax_number": "203-791-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST RADIOLOGY OF CONNECTICUT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHEAST RADIOLOGY OF CONNECTICUT, LLC",
        "enumeration_date": "2005-10-18",
        "last_updated": "2018-01-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "849-278-6200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.

Verify at the official NPI Registry.