Active NPI
Eastern Connecticut Gastroenterology,LLC
- Gastroenterology Physician
- Vernon, CT
National Provider Identifier
1881802205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 037938
- Legal business name
- EASTERN CONNECTICUT GASTROENTEROLOGY,LLC
- Practice address
- 460 Hartford Tpke
Suite B
Vernon, CT 06066-4819 - Phone
- (860) 875-6944
- Fax
- (860) 871-7857
- NPI assigned
- May 18, 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
- Mrs. Karen Margaret Salwocki
- Title
- Practice Manager
- Phone
- (860) 875-6944
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 037938 | CT | Primary |
Addresses
Primary practice location
460 Hartford Tpke
Suite B
Vernon, CT 06066-4819
Mailing address
460 Hartford Tpke
Suite B
Vernon, CT 06066-4819
Phone (860) 875-6944
National Provider Directory
National Provider DirectoryLocations
272 Main St
Manchester, CT 06042
Phone (860) 432-2100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Statesboro, GA
- NPI 1144222456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1881802205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 HARTFORD TPKE",
"address_2": "SUITE B",
"city": "VERNON",
"state": "CT",
"postal_code": "060664819",
"telephone_number": "860-875-6944",
"fax_number": "860-871-7857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 HARTFORD TPKE",
"address_2": "SUITE B",
"city": "VERNON",
"state": "CT",
"postal_code": "060664819",
"telephone_number": "860-875-6944",
"fax_number": "860-871-7857"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTERN CONNECTICUT GASTROENTEROLOGY,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SALWOCKI",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "MARGARET",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "860-875-6944",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "CT",
"license": "037938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vernon, 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.