Organization Active NPI

R.R.K.LLC

  • Clinic/Center
  • Wethersfield, CT
National Provider Identifier
1881639094
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
20514 Issued in CT
Legal business name
R.R.K.LLC
Practice address
530 Silas Deane Hwy
Suite Number 340
Wethersfield, CT 06109-2234
Phone
(860) 721-7911
Fax
(860) 257-0272
NPI assigned
Jun 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Rekha Ranade Kapur, M.D.
Title
President
Phone
(860) 721-7911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 20514 CT Primary

Addresses

Primary practice location

530 Silas Deane Hwy
Suite Number 340
Wethersfield, CT 06109-2234

Mailing address

530 Silas Deane Hwy
Suite Number 340
Wethersfield, CT 06109-2234
Phone (860) 721-7911

Other identifiers 1

IdentifierTypeStateIssuer
1205146MedicaidCT

National Provider Directory

National Provider Directory

Locations

530 Silas Deane Hwy
Ste 340
Wethersfield, CT 06109
Phone (860) 721-7911

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881639094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 SILAS DEANE HWY",
            "address_2": "SUITE NUMBER 340",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061092234",
            "telephone_number": "860-721-7911",
            "fax_number": "860-257-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 SILAS DEANE HWY",
            "address_2": "SUITE NUMBER 340",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061092234",
            "telephone_number": "860-721-7911",
            "fax_number": "860-257-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.R.K.LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAPUR",
        "authorized_official_first_name": "REKHA",
        "authorized_official_middle_name": "RANADE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-721-7911",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CT",
            "license": "20514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205146",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wethersfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.