Active NPI
Naugatuck Valley Cardiovascular Associates
- Cardiovascular Disease Physician
- Middlebury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- NAUGATUCK VALLEY CARDIOVASCULAR ASSOCIATES
- Practice address
- 1625 Straits Tpke
Suite 209
Middlebury, CT 06762-1836 - Phone
- (203) 758-9100
- NPI assigned
- Feb 27, 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. George Antonopoulos, MD
- Title
- Owner
- Phone
- (203) 758-9100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X | 6868 | CT |
Addresses
Primary practice location
1625 Straits Tpke
Suite 209
Middlebury, CT 06762-1836
Mailing address
1625 Straits Tpke
Suite 209
Middlebury, CT 06762-1836
Phone (203) 758-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D1068716 | Naugatuck Valley Cardiovascular Assoc | Certificate of waiver | May 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
1625 Straits Tpke
Ste 209
Middlebury, CT 06762
Phone (203) 758-9100
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Middlebury, CT
- NPI 1457419814
-
- Cardiovascular Disease Physician
- Middlebury, CT
- NPI 1245398619
-
- Family Nurse Practitioner
- New Haven, CT
- NPI 1316103542
-
- Nurse Practitioner
- Southbury, CT
- NPI 1275806390
-
- Surgical Physician Assistant
- Waterbury, CT
- NPI 1386664787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446422400000",
"number": "1881721900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 STRAITS TPKE",
"address_2": "SUITE 209",
"city": "MIDDLEBURY",
"state": "CT",
"postal_code": "067621836",
"telephone_number": "203-758-9100",
"fax_number": "203-758-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 STRAITS TPKE",
"address_2": "SUITE 209",
"city": "MIDDLEBURY",
"state": "CT",
"postal_code": "067621836",
"telephone_number": "203-758-9100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAUGATUCK VALLEY CARDIOVASCULAR ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2015-11-02",
"status": "A",
"authorized_official_last_name": "ANTONOPOULOS",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-758-9100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "6868",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middlebury, CT
- Suphichaya Muangman, M.D.
- Melanie Beth Mund, M.D.
- Anushree Mundhe, M.S
- Jacqueline Marisol Murillo, DNP- APRN
- Donna Mychaskiw, PD,MS
- Naugatuck Valley Women'S Health Specialists, P.C.
- Naugatuck Valley Womens Health Specialists PC
- Nephrology and Hypertension Assoc PC
- Laura Jean Nesta, LCSW
- Shobha Neupane
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.