Organization Active NPI

Rheumatology Associates of Southern Connecticut, LLC

  • Rheumatology Physician
  • Stamford, CT
National Provider Identifier
1811229941
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
047807 Issued in CT
Legal business name
RHEUMATOLOGY ASSOCIATES OF SOUTHERN CONNECTICUT, LLC
Practice address
1275 Summer St
Suite A1
Stamford, CT 06905-5359
Phone
(203) 374-6691
NPI assigned
Jan 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Authorized official

Name
Dr. Hana Hulinska, M.D.NPI 1558590489
Title
Manager
Phone
(203) 374-6691

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 047807 CT Primary

Addresses

Primary practice location

1275 Summer St
Suite A1
Stamford, CT 06905-5359

Mailing address

22 Westwood Dr
Easton, CT 06612-2123
Phone (203) 374-6691

Other identifiers 1

IdentifierTypeStateIssuer
47807OtherCTLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100526000026 CT Part B Supplier - Clinic/Group Practice 2163551490 Receives reassigned benefits from 1 practitioner
Practice locations: Sandy Hook, CT; Stamford, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1811229941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WESTWOOD DR",
            "city": "EASTON",
            "state": "CT",
            "postal_code": "066122123",
            "telephone_number": "203-374-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 SUMMER ST",
            "address_2": "SUITE A1",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055359",
            "telephone_number": "203-374-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEUMATOLOGY ASSOCIATES OF SOUTHERN CONNECTICUT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-29",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "HULINSKA",
        "authorized_official_first_name": "HANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-374-6691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CT",
            "license": "047807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "47807",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.