Kumkum S Modwel MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KUMKUM S MODWEL MD LLC

Practice address

153 S Main St
Newtown, CT 06470-2791

Phone

(203) 270-1077

Fax

(203) 270-0420

NPI assigned

Jan 10, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Kumkum S Modwel, MD

Title

Owner

Phone

(203) 270-7592

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.

• Jeffrey P Friedman, MD

  • Internal Medicine Physician
  • Newtown, CT
  • NPI 1023048899
  NPD (past)
• Cheryl A Rosenthal, APRN

  • Family Nurse Practitioner
  • Newtown, CT
  • NPI 1093737504
  NPD (past)

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1770905754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 S MAIN ST",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064702791",
            "telephone_number": "203-270-1077",
            "fax_number": "203-270-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 S MAIN ST",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064702791",
            "telephone_number": "203-270-1077",
            "fax_number": "203-270-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUMKUM S MODWEL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "MODWEL",
        "authorized_official_first_name": "KUMKUM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-270-7592",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001392563",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emerson Krasnickas, OT
• Adrienne Helene Kraus
• Kristen Smaldone Nutrition LLC
• Stephanie A Kronick, PT, DPT
• KT Counseling Associates, LLC
• Karin Williams Labanca, PT, DPT
• William P Labella, DDS
• Steven C. Landin, DMD
• Chloe Skye Landisman
• Caroline Lucille Larosa, M.D.

• Family Medicine Physician in Newtown, CT
• Providers in Newtown, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.