Organization Active NPI

Hill Top I.V. Infusion/ Ketamine and Wellness

  • Addiction Medicine (Internal Medicine) Physician
  • Bridgeport, CT
National Provider Identifier
1871359984
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
Legal business name
HILL TOP I.V. INFUSION/ KETAMINE AND WELLNESS
Practice address
4675 Main St
Bridgeport, CT 06606-1813
Phone
(203) 346-1904
Fax
(203) 374-7515
NPI assigned
Feb 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Dr. Christina Mojisola Kolade, DO
Title
Ceo
Phone
(203) 803-8599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0401X Primary

Addresses

Primary practice location

4675 Main St
Bridgeport, CT 06606-1813

Mailing address

4675 Main St
Bridgeport, CT 06606-1813
Phone (203) 346-1904

Other names 1

  • Hill Top I.V. infusion/Ketamine and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

4675 Main St
Bridgeport, CT 06606
Phone (203) 374-6103

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1871359984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061813",
            "telephone_number": "203-346-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061813",
            "telephone_number": "203-346-1904",
            "fax_number": "203-374-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILL TOP I.V. INFUSION/ KETAMINE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "KOLADE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "MOJISOLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-803-8599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hill Top I.V. infusion/Ketamine and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.