Organization Active NPI

Eastern Connecticut Gastroenterology,LLC

  • Gastroenterology Physician
  • Vernon, CT
National Provider Identifier
1881802205
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
037938 Issued in CT
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

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. Karen Margaret Salwocki
Title
Practice Manager
Phone
(860) 875-6944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.