Heart Wellness Group, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

HEART WELLNESS GROUP, LLC

Practice address

2 Broadway
North Haven, CT 06473-2349

Phone

(203) 714-4441

NPI assigned

Aug 9, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Kunal Domakonda, MDNPI 1285954180

Title

Owner

Phone

(917) 582-8774

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 3

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

• Kunal V. Domakonda, M.D.

  • Internal Medicine Physician
  • Hamden, CT
  • NPI 1285954180

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD Authorized official
• Christina Lakomski, APRN

  • Gerontology Nurse Practitioner
  • Hartford, CT
  • NPI 1669824009
  Medicare reassignment Care Compare group NPD
• Kristen Murusky, FNP

  • Family Nurse Practitioner
  • Branford, CT
  • NPI 1407409246
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1861120974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 OLD GATE RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923327",
            "telephone_number": "917-582-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BROADWAY",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732349",
            "telephone_number": "203-714-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART WELLNESS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "DOMAKONDA",
        "authorized_official_first_name": "KUNAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-582-8774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Edward Harris, BCBA
• Leanna Hartnack, BCBA
• Healthstat Health Center Aces
• Healthy Healing Psychotherapy II LLC
• Healthy Relations Counseling, LLC
• Gary Dennis Heins, LICENSED OPTICIAN
• Christopher Neil Heon, ATC, BOCO
• Paul M Hergott, RPH
• James Lewis Hexter
• Henry Ainsley Highman, PA

• Cardiovascular Disease Physician in North Haven, CT
• Providers in North Haven, 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 Aug 9, 2022; 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.