Lori L. Greenwald, MD, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

030092 Issued in CT

Legal business name

LORI L. GREENWALD, MD, PC

Practice address

1 Barnard LN
Suite 201
Bloomfield, CT 06002-2481

Phone

(860) 761-6666

Fax

(860) 761-2502

NPI assigned

Dec 7, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Susan R Michaud

Title

Office Manager

Phone

(860) 761-6666

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vanishing Veins Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 5

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

• Lori L Greenwald, M.D.

  • Specialist
  • Bloomfield, CT
  • NPI 1073549978
  Medicare reassignment NPD
• Danielle L Beaulieu, NP

  • Acute Care Nurse Practitioner
  • Springfield, MA
  • NPI 1306810924

  CT

  Medicare reassignment NPD
• Grace M. Brady, APRN

  • Nurse Practitioner
  • Middletown, CT
  • NPI 1679591077
  NPD (past)
• Lenore S. Crosson, FNP-BC

  • Family Nurse Practitioner
  • Glastonbury, CT
  • NPI 1689648974
  NPD (past)
• Susan B Taboada, APRN

  • Adult Health Nurse Practitioner
  • Hartford, CT
  • NPI 1447586516
  NPD (past)

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1801079371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BARNARD LN",
            "address_2": "SUITE 201",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022481",
            "telephone_number": "860-761-6666",
            "fax_number": "860-761-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARNARD LN",
            "address_2": "SUITE 201",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022481",
            "telephone_number": "860-761-6666",
            "fax_number": "860-761-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI L. GREENWALD, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "MICHAUD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "860-761-6666",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "030092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "C03461",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vanishing Veins",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Listorti, PMHNP
• Theodore Loewenthal, MD
• Karen Ann Logan, OTR
• Jude Vincent Lombardi, DC
• Lori L. Fritts, MD, LLC
• Eugenia Ettlin Loverde, MD
• Nelly Lugo-Larcheveque, PT
• Maury Luxemburg, MD
• Lynda Dunlop Aprn
• Krystal L Macca

• Specialist in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.