Stamford Arthritis Care, LLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

037521 Issued in CT

Legal business name

STAMFORD ARTHRITIS CARE, LLC

Practice address

1266 E Main St
Suite 700R
Stamford, CT 06902-3546

Phone

(203) 487-0280

Fax

(203) 487-0279

NPI assigned

Oct 2, 2007

Organization subpart

No

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

Authorized official

Name

Irene J Tan, M.D.NPI 1083684500

Title

President

Phone

(203) 487-0280

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irene J. Tan, M.D.

  • Rheumatology Physician
  • Philadelphia, PA
  • NPI 1083684500

  Rheumatology

  NPD (past) Authorized official

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1891982005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 E MAIN ST",
            "address_2": "SUITE 700R",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023546",
            "telephone_number": "203-487-0280",
            "fax_number": "203-487-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 E MAIN ST",
            "address_2": "SUITE 700R",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023546",
            "telephone_number": "203-487-0280",
            "fax_number": "203-487-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAMFORD ARTHRITIS CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-487-0280",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CT",
            "license": "037521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION NPI",
            "identifier": "1891982005",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "C03453",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "010037521CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET PROVIDER ID",
            "identifier": "2V7063",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerry Elisabeth St. Pierre, MS, MA, CDN
• Laura Staffanell Depreta
• Stamford Acquisition I, LLC
• Stamford Acquisition I, LLC
• Stamford Anesthesiology Services, PC
• Stamford ASC LLC
• Stamford Balance, LLC
• Stamford Care Center LLC
• Stamford Center for Integrative Medicine PLLC
• Stamford Center for Natural Health

• Rheumatology Physician in Stamford, CT
• Providers in Stamford, CT by specialty
• Rheumatology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.