Active NPI
Eastern Connecticut Physician Associates LLC
- Family Medicine Physician
- South Windsor, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- EASTERN CONNECTICUT PHYSICIAN ASSOCIATES LLC
- Practice address
- 2701 Tamarack Ave
South Windsor, CT 06074-5562 - Phone
- (860) 375-5141
- Fax
- (860) 896-8190
- NPI assigned
- Jun 10, 2013
- Last updated
- Sep 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gayethri Narayanswamy
- Title
- Physician
- Phone
- (860) 375-5141
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
2701 Tamarack Ave
South Windsor, CT 06074-5562
Mailing address
2701 Tamarack Ave
South Windsor, CT 06074-5562
Phone (860) 375-5141
Other practice location 1
23 Pease Farm Rd
Ellington, CT 06029-3443
Phone (860) 375-5141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D2063214 | Eastern Connecticut Physician Associates, LLC | Certificate of waiver | Jul 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
175 West Rd
Ste 100
Ellington, CT 06029
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HEIIAD
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Family Medicine Physician
- South Windsor, CT
- NPI 1376670646
-
- Family Nurse Practitioner
- South Windsor, CT
- NPI 1881572600
-
- Family Nurse Practitioner
- Manchester, CT
- NPI 1689373839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631577600000",
"number": "1821436007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 TAMARACK AVE",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060745562",
"telephone_number": "860-375-5141",
"fax_number": "860-896-8190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 TAMARACK AVE",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060745562",
"telephone_number": "860-375-5141",
"fax_number": "860-896-8190"
}
],
"practiceLocations": [
{
"address_1": "23 Pease Farm Rd",
"address_purpose": "LOCATION",
"city": "Ellington",
"state": "CT",
"postal_code": "060293443",
"country_code": "US",
"telephone_number": "860-375-5141",
"fax_number": "860-647-8399",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EASTERN CONNECTICUT PHYSICIAN ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-10",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A",
"authorized_official_last_name": "NARAYANSWAMY",
"authorized_official_first_name": "GAYETHRI",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "860-375-5141"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Windsor, CT
- Alyssa Lynn Dugas, APRN
- Latha Dulipsingh, MD
- Jacqueline Duncan, PT
- Meghan Dzioba
- Eastern Connecticut Medical Professionals Foundation, Inc (Eastern Orthopeadics and Sports Medicine, PC)
- Eastern Sports Medicine and Spine Associates LLC
- Echn Wellness Services, Inc. (Women's Center for Wellness)
- Jess Edelstein, PHD
- Eden Counseling Services, LLC
- Aisha Edwards
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.