Priya Tandon M.D. LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

035115 Issued in CT

Legal business name

PRIYA TANDON M.D. LLC

Practice address

123 Broadway St
Colchester, CT 06415-1022

Phone

(860) 537-2309

Fax

(860) 537-1629

NPI assigned

Jan 23, 2008

Last updated

Jan 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Priya Tandon, M.DNPI 1417985946

Title

Internist

Phone

(860) 537-2309

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Priya Tandon, M.D.

  • Internal Medicine Physician
  • Colchester, CT
  • NPI 1417985946
  Medicare reassignment NPD Authorized official
• Cheryl Spano Lonis, APRN

  • Adult Health Nurse Practitioner
  • Norwich, CT
  • NPI 1902235294
  NPD (past)

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1881871770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 BROADWAY ST",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151022",
            "telephone_number": "860-537-2309",
            "fax_number": "860-537-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 BROADWAY ST",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151022",
            "telephone_number": "860-537-2309",
            "fax_number": "860-537-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIYA TANDON M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "TANDON",
        "authorized_official_first_name": "PRIYA",
        "authorized_official_title_or_position": "INTERNIST",
        "authorized_official_telephone_number": "860-537-2309",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CT",
            "license": "035115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Pinnock-Robinson, LCSW
• Natalia Pisklak
• Wendy Pizzoferrato, RN
• Barbara Pokorny, APRN
• Laura C Popeleski, PAC
• Professional Dental Alliance of Colchester, PLLC (Life Long Dental Care of Colchester)
• Joshua Pruitt, PHARM.D.
• Psychotherapy Associates of CT, LLC
• Susan Gene Pugatch, RPT
• Kelsey Rai, LMFTA

• Medical Specialty Clinic/Center in Colchester, CT
• Providers in Colchester, CT by specialty
• Medical Specialty Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.