Active NPI
Primed, LLC
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
National Provider Identifier
1871781047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PRIMED, LLC
- Practice address
- 501 Kings Hwy E
Suite 204
Fairfield, CT 06825-4867 - Phone
- (203) 610-6300
- Fax
- (203) 610-6347
- NPI assigned
- Oct 12, 2007
- Last updated
- Oct 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nicholas Bertini, MD
- Title
- President, Primed, LLC
- Phone
- (203) 944-1940
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
501 Kings Hwy E
Suite 204
Fairfield, CT 06825-4867
Mailing address
3 Enterprise Dr
Suite 404
Shelton, CT 06484-4694
Phone (203) 944-1940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C02041 | Other | CT | MEDICARE GROUP # |
National Provider Directory
National Provider Directory- Tax ID family
- Primed
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Bridgeport, CT
- NPI 1215271713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192147200000",
"number": "1871781047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 ENTERPRISE DR",
"address_2": "SUITE 404",
"city": "SHELTON",
"state": "CT",
"postal_code": "064844694",
"telephone_number": "203-944-1940",
"fax_number": "203-402-4196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 KINGS HWY E",
"address_2": "SUITE 204",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068254867",
"telephone_number": "203-610-6300",
"fax_number": "203-610-6347"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMED, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-12",
"last_updated": "2007-10-12",
"status": "A",
"authorized_official_last_name": "BERTINI",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "PRESIDENT, PRIMED, LLC",
"authorized_official_telephone_number": "203-944-1940",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "C02041",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CT
- Prestige Counseling LLC
- Deborah D Price, MSW LCSW
- Prima Primary Care and Wellness LLC
- Primary Care Physicians of Fairfield, P.C.
- Prime Healthcare of Southport,LLC
- Baylie Pritchard, ND
- William Vanderveer Probasco, M.D., M.S.
- Professional Dental Alliance of CT - Ortho, PLLC (First Impressions Orthodontics)
- Professional Dental Alliance of CT - Ortho, PLLC (First Impressions Orthodontics)
- Professional Dental Alliance of CT - Pedo, PLLC (Kids First Pediatric Dentistry & Orthodontics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.