Virtually Well LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

VIRTUALLY WELL LLC

Practice address

415 Boston Post Rd Ste 3-1165
Milford, CT 06460-2578

Phone

(203) 745-9724

Fax

(888) 960-5246

NPI assigned

Dec 5, 2023

Organization subpart

No

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

Authorized official

Name

Dr. David K Israel, MD

Title

Operator

Phone

(203) 745-9724

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1740057207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 WHITNEY LN",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064771337",
            "telephone_number": "203-745-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 BOSTON POST RD STE 3-1165",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064602578",
            "telephone_number": "203-745-9724",
            "fax_number": "888-960-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUALLY WELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "ISRAEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "203-745-9724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Vaz, MSW
• Monika Vermani, DMD
• Julian Erik Vermund, O.D.
• Julia Vicars, ATR, LPC
• Jesus Abel Villegas, DDS
• Vitality Weight and Hormone Solutions LLC
• Holly Vitko
• David Vitola, BCBA
• Jessica Vives
• Rebecca Lynn Vives, BCBA

• Health Service Clinic/Center in Milford, CT
• Providers in Milford, CT by specialty
• Health Service Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.