Albert Daniel Ardao, MD
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · New London, CT
NPI 1831223700 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831223700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 028660 (CT)
- Practice address
- 292 Pequot Ave
#40
New London, CT 06320 - Phone
- (860) 443-8098
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028660 | CT | MD | Physical Medicine & Rehabilitation Physician |
| 165617 | NY | MD | Physical Medicine & Rehabilitation Physician |
| MD 067735L | PA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vibra Physicians LLC | Current |
Accepting new patients |
Locations
9509 Georgia St
Crown Point, IN 46307
Phone (219) 472-2200
950 Park East Blvd
Lafayette, IN 47905
Phone (765) 237-5613
8081 Royal Ridge Pkwy
Ste 130
Irving, TX 75063
Phone (844) 870-6689
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 028660 | CT | Yes |
| Physical Medicine & Rehabilitation Physician | 208100000X | 165617 | NY | |
| Physical Medicine & Rehabilitation Physician | 208100000X | MD 067735L | PA |
Addresses
Primary practice location
292 Pequot Ave
#40
New London, CT 06320
Mailing address
292 Pequot Ave
#40
New London, CT 06320
Phone (860) 443-8098
Other providers in New London, CT
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- Anica Antic
- Antonio Okosky LCSW LLC
- Ruth Paula Archer
- Klaritza Guadalupe Armenta
- Benjamin D Armstrong
- Sharnique Armwood
- Caitlyn Arnold
- Nicole Arnold
All providers in New London, CT · Physical Medicine & Rehabilitation Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.