Elcg Medical LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

ELCG MEDICAL LLC

Practice address

6 Northwestern Dr Ste 305
Bloomfield, CT 06002-3428

Phone

(917) 837-9215

NPI assigned

Nov 13, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Erica Hope Lambert, MD

Title

MD

Phone

(917) 837-9215

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Elcg Medical LLC

  • Non-Pharmacy Dispensing Site
  • Bloomfield, CT
  • NPI 1073389029
  NPPES parent name

Practitioners 1

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

• Sarah L Case, PA-C

  • Surgical Physician Assistant
  • Hartford, CT
  • NPI 1881265924
  NPD (past)

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1750155560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RIDGEBURY RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013825",
            "telephone_number": "917-837-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 NORTHWESTERN DR STE 305",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023428",
            "telephone_number": "917-837-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELCG MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "917-837-9215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Monique Edwards
• Eileen C. Comia, MD, LLC
• Elcg Medical LLC
• Tanesha N Elegbede, LPC
• Brian Elliott
• Ellis Medical Center, LLC
• Ellis Medical Center, LLC
• Cheryl Ellis, PSYD

• Urology Physician in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Urology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.