Cardiomed of Connecticut, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036793 Issued in CT

Legal business name

CARDIOMED OF CONNECTICUT, LLC

Practice address

4695 Main St
Suite 19
Bridgeport, CT 06606-1802

Phone

(203) 371-5189

Fax

(203) 372-6365

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mohummad Raza, M.D., F.A.C.C

Title

Owner

Phone

(203) 371-5189

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Syed Hussain

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1144258377
  NPD (past)
• Iulian A Sora, MD

  • Internal Medicine Physician
  • Charleston, SC
  • NPI 1508810946
  NPD (past)

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1699964403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4695 MAIN ST",
            "address_2": "SUITE 19",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061802",
            "telephone_number": "203-371-5189",
            "fax_number": "203-372-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4695 MAIN ST",
            "address_2": "SUITE 19",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061802",
            "telephone_number": "203-371-5189",
            "fax_number": "203-372-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOMED OF CONNECTICUT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "RAZA",
        "authorized_official_first_name": "MOHUMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-371-5189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F.A.C.C"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "036793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001367938",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stefanie Elena Cappellieri, LCSW
• Susan Carol Carbine, PTA
• Francisco Rafael Carbone, M.D.
• Joseph Rosario Carcione Jr., DO
• Cardiology Physicians, P.C.
• Cardiovascular Physicians, PC
• Joseane Rachel Cardoso, NP
• Shannon Cardoza
• Care Gurus LLC
• Care Integrative Internal Medicine, LLC

• Cardiovascular Disease Physician in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Cardiovascular Disease Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.