Northeastern Connecticut Cardiology Associates, PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

6945000000 Issued in CT

Legal business name

NORTHEASTERN CONNECTICUT CARDIOLOGY ASSOCIATES, PC

Doing business as

Necca, PC

Practice address

37 Kennedy Dr Ste a
Putnam, CT 06260-1946

Phone

(860) 963-7519

Fax

(860) 963-0668

NPI assigned

Jul 1, 2006

Last updated

May 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Willaim M Bradbury, M.D.

Title

M.D.

Phone

(860) 963-7519

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NECCA, PC Doing business as

Locations

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1851320964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 KENNEDY DR STE A",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601946",
            "telephone_number": "860-963-7519",
            "fax_number": "860-963-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 KENNEDY DR STE A",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601946",
            "telephone_number": "860-963-7519",
            "fax_number": "860-963-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN CONNECTICUT CARDIOLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "BRADBURY",
        "authorized_official_first_name": "WILLAIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "860-963-7519",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "6945000000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004396348",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NECCA, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bonnie Lynn Niles, P.T.A.
• Ilya Noginskiy, MD
• Northeast Connecticut Dental Associates, Inc.
• Northeast Eyewear
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• Emma Rose Northridge
• Norwich Radiology Group, P.C.
• Savannah Lynn Nute, LMSW
• Emmanuel J Nwabunor, LPN
• Daniel William O'Neill, M.D.

• Cardiovascular Disease Physician in Putnam, CT
• Providers in Putnam, CT by specialty
• Cardiovascular Disease Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.