Alliance Medical Group of Greater Waterbury PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ALLIANCE MEDICAL GROUP OF GREATER WATERBURY PC

Practice address

1625 Straits Tpke
Middlebury, CT 06762-1836

Phone

(203) 573-9512

Fax

(203) 568-2904

NPI assigned

Jul 13, 2006

Last updated

Sep 3, 2009By 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

Mr. Mark Aresco

Title

President

Phone

(203) 573-9512

Specialties & licenses 15

Addresses

Locations

Practitioners 39

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.

• Delly Alcantara-Cadillo, MD

  • Internal Medicine Physician
  • West Haven, CT
  • NPI 1891866059
  NPD (past)
• Lydia Aoun-Barakat, MD

  • Infectious Disease Physician
  • Waterbury, CT
  • NPI 1033183355
  NPD (past)
• Kevin Matthew Baran, M.D., M.P.H.

  • Internal Medicine Physician
  • Bristol, CT
  • NPI 1124239728
  NPD (past)
• Daniel G. Brennan, DMD

  • General Practice Dentistry
  • Waterbury, CT
  • NPI 1528403177
  NPD (past)
• Deborah L Casey, MD

  • Internal Medicine Physician
  • Waterbury, CT
  • NPI 1740253632
  NPD (past)
• Shiven B Chabria, MD

  • Internal Medicine Physician
  • Waterbury, CT
  • NPI 1932172830
  NPD (past)
• Ayesha Chaudhry, MD

  • Internal Medicine Physician
  • Hamden, CT
  • NPI 1841450657
  NPD (past)
• Joseph T Cherneskie, MD

  • Internal Medicine Physician
  • Terryville, CT
  • NPI 1588655757
  NPD (past)
• Jo-Anne A Cosgriff, MD

  • Pulmonary Disease Physician
  • Middlebury, CT
  • NPI 1942224902
  NPD (past)
• Vincent D. D'Agostino, DMD, MAGD

  • General Practice Dentistry
  • Waterbury, CT
  • NPI 1336584986
  NPD (past)
• Anna Gibb Hallemeier, MD

  • Internal Medicine Physician
  • Simsbury, CT
  • NPI 1649333600
  NPD (past)
• Chalmers M Hamill, MD

  • Internal Medicine Physician
  • Waterbury, CT
  • NPI 1578589370
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251936000000",
    "number": "1750306015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 STRAITS TPKE",
            "address_2": "SUITE #301",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067621836",
            "telephone_number": "203-573-9512",
            "fax_number": "203-568-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 STRAITS TPKE",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067621836",
            "telephone_number": "203-573-9512",
            "fax_number": "203-568-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE MEDICAL GROUP OF GREATER WATERBURY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-09-03",
        "status": "A",
        "authorized_official_last_name": "ARESCO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-573-9512",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Janet Lynn Anderson-Ray, M.D.
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• Internal Medicine Physician in Middlebury, CT
• Providers in Middlebury, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.