NPIMap

Lawrence and Memorial Hospital, Inc.

Organization Active NPI Rehabilitation Hospital Unit · New London, CT

NPI 1780748871 · NPPES record last updated Dec 2, 2025

Key facts

NPI
1780748871
Entity type
Organization (NPI type 2)
Primary specialty
Rehabilitation Hospital Unit 273Y00000X
License
0047 (CT)
Legal business name
LAWRENCE AND MEMORIAL HOSPITAL, INC.
Practice address
365 Montauk Avenue
New London, CT 06320
Phone
(860) 442-0711
NPI assigned
Dec 21, 2006
Organization subpart
No

Authorized official

Name
Jacqueline Wrinn
Title
Director
Phone
(203) 688-8411

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 6

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Facilities connected through Provider of Services related, parent or unit certification numbers.

Practitioners 53

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

View all 53

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Inpatient rehabilitation facility

Listed as
Lawrence Memorial Hospital CCN 07T007
Ownership
Non-profit
Certified
Oct 1, 1983

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CT

Hospital certification: CCN 07T007

Legal name
LAWRENCE AND MEMORIAL HOSPITAL INC.
Organization structure
Corporation · Non-profit
Incorporated
Feb 27, 1985 in CT
Enrollment address
365 Montauk Ave
New London, CT 63204700
Hospital Rehabilitation Unit
Hospital subgroups
General, Rehabilitation unit

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Richard Lisitano
Individual 		Corporate Officer
President		 Jan 1, 2025
William J Aseltyne
Individual 		Corporate Officer
Secretary		 Jan 1, 2025
Jacqueline Wrinn
Individual 		Corporate Director
Dir. Integrated Receivables MGMT		 Mar 1, 2025
W-2 Managing Employee
Dir. Integrated Receivables MGMT		 Mar 1, 2025
Kathleen Holt
Individual 		Corporate Officer
Chairman		 Jan 1, 2025
Gail Kosyla
Individual 		Corporate Officer
Treasurer		 Jan 1, 2025
Stephen M Greene
Individual 		Corporate Director
Elected Trustee		 Oct 1, 2020
Marie-Claire Peakman
Individual 		Corporate Officer
Vice Chair		 Jan 1, 2025

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20080922000232 CT Part a Provider - Hospital 5991792053 Practice locations: New London, CT

National Provider Directory

Tax ID family
Anesthesia Dept (7 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 0047 CT Yes

Addresses

Primary practice location

365 Montauk Avenue
New London, CT 06320

Mailing address

365 Montauk Avenue
New London, CT 06320
Phone (860) 442-0711

Other identifiers

IdentifierTypeStateIssuer
7002688MedicaidMA
H04961OtherOXFORD
004041679MedicaidCT
092591800MedicaidFL
004024972MedicaidCT
008OtherCTBLUE CROSS
97000007MedicaidNC
XHSP41514MedicaidCA
9127OtherAETNA
XHSP31514MedicaidCA
538520200MedicaidMN
033921OtherHEALTHNET
7201672MedicaidMA
946704OtherCONNECTICARE

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 2, 2025.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1780748871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 MONTAUK AVENUE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "06320",
            "telephone_number": "860-442-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 MONTAUK AVENUE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "06320",
            "telephone_number": "860-442-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE AND MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "WRINN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "203-688-8411"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "CT",
            "license": "0047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7002688",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "H04961",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004041679",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092591800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004024972",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "008",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97000007",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XHSP41514",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9127",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XHSP31514",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "538520200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "033921",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7201672",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "946704",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New London, CT

All providers in New London, CT · Rehabilitation Hospital Unit in Connecticut

Sources for this page

Verify at the official NPI Registry.