Value Based Long Term Care K PC
Organization Active NPI Geriatric Medicine (Internal Medicine) Physician · Shelton, CT
NPI 1831921378 · NPPES record last updated Aug 16, 2024
Key facts
- NPI
- 1831921378
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- Legal business name
- VALUE BASED LONG TERM CARE K PC
- Practice address
- 5 Research Dr
Shelton, CT 06484-6232 - Phone
- (203) 901-2493
- Fax
- (866) 497-2991
- NPI assigned
- Aug 14, 2024
- Organization subpart
- No
Authorized official
- Name
- Manoj Wadhwani
- Title
- Owner
- Phone
- (203) 901-2493
Practitioners 70
-
Ayesha Ahmed, MD
-
Camille Nicole Alvarado, D.O.
-
Bachaar Arnaout, M.D.
-
Amy Arnold, PMHNP-BC
-
Kimberley Bedard, APRN
-
Victoria Bourque, A.P.R.N.
-
Akiva Bronstein, PA
-
Catherine Catti, APRN
-
Martin M Cooper, MD
-
Carla L Corcione, PHD
-
April Davis, APRN
-
Nora Frempong, PA-C
-
Melissa S Gatica, LCSW
-
Joan Guerrera, LCSW
-
Deborah Guidetti-Gerwien, LCSW
-
Lisa C Hayden, PHD
-
Taylor Adah Humbert, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240904003650 | CT | Part B Supplier - Clinic/Group Practice | 1355881418 |
Receives reassigned benefits from 68 practitioners Practice locations: Farmington, CT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician |
207RG0300X | Yes |
Addresses
Primary practice location
5 Research Dr
Shelton, CT 06484-6232
Mailing address
5 Research Dr
Shelton, CT 06484-6232
Phone (203) 901-2493
Other providers in Shelton, CT
- Valley Orthopaedic Specialists LLC
- Value Based Long Term Care a PC
- Value Based Long Term Care G PC
- Value Based Long Term Care II, LLC
- Value Based Long Term Care J PC
- Value Based Long Term Care LLC
- David Matthew Van Ess
- Kimberly Anne Van Hoose
- Scott Alan Vander Vennet
- Vanguard Medical LLC
All providers in Shelton, CT · Geriatric Medicine (Internal Medicine) 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 Aug 16, 2024. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.