Dartmouth Endocrinology LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

032434 Issued in CT

Legal business name

DARTMOUTH ENDOCRINOLOGY LLC

Doing business as

Dartmouth Endocrinology, Diabetes and Metabolism, LLC

Practice address

44 Dale Rd Ste 201
Avon, CT 06001-4351

Phone

(860) 679-0234

Fax

(860) 606-0060

NPI assigned

Oct 1, 2007

Last updated

Dec 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory J Bombassei, MDNPI 1962582718

Title

Owner

Phone

(860) 679-0234

Specialties & licenses 1

Addresses

Other names 1

• Dartmouth Endocrinology, Diabetes and Metabolism, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Gregory J Bombassei, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Avon, CT
  • NPI 1962582718
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1669669982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 DALE RD STE 201",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014351",
            "telephone_number": "860-679-0234",
            "fax_number": "860-606-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 DALE RD STE 201",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014351",
            "telephone_number": "860-679-0234",
            "fax_number": "860-606-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARTMOUTH ENDOCRINOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "BOMBASSEI",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-679-0234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CT",
            "license": "032434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dartmouth Endocrinology, Diabetes and Metabolism, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dartmouth Endocrinology, Diabetes and Metabolism, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Curtis, MS, ATC
• Marla Dakin, LCSW
• Marie Dam, MD
• Linda Lee Daniels-Miller
• Lili Daoud, LCSW
• Adelina M Das, DMD
• Ryanne Mary Davey
• Dawn Cohen LCSW, LLC
• Sarah Dean, APRN
• Debra V Johnson, Aprn

• Endocrinology, Diabetes & Metabolism Physician in Avon, CT
• Providers in Avon, CT by specialty
• Endocrinology, Diabetes & Metabolism Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.