NPIMap

Organization Active NPI

Vassar Health Quest Medical Practice of Connecticut Inc.

  • Urology Physician
  • Sharon, CT
National Provider Identifier
1710447222
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
VASSAR HEALTH QUEST MEDICAL PRACTICE OF CONNECTICUT INC.
Practice address
29 Hospital Hill Rd Ste 1400
Sharon, CT 06069-2095
Phone
(860) 364-7029
Fax
(860) 364-7079
NPI assigned
Mar 21, 2019
Last updated
Mar 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Authorized official

Name
Glenn Loomis
Title
Cmo
Phone
(845) 475-9661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

29 Hospital Hill Rd Ste 1400
Sharon, CT 06069-2095

Mailing address

1351 Route 55 Ste 200
Lagrangeville, NY 12540-5128
Phone (845) 475-9661

Other names 1

  • VHQMP Sharon PCP Other name

National Provider Directory

National Provider Directory
Tax ID family
Health Quest Medical Practice PC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1710447222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 ROUTE 55 STE 200",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405128",
            "telephone_number": "845-475-9661",
            "fax_number": "845-475-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 HOSPITAL HILL RD STE 1400",
            "city": "SHARON",
            "state": "CT",
            "postal_code": "060692095",
            "telephone_number": "860-364-7029",
            "fax_number": "860-364-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASSAR HEALTH QUEST MEDICAL PRACTICE OF CONNECTICUT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "LOOMIS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "845-475-9661"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VHQMP Sharon PCP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sharon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.