Organization Active NPI

Housatonic Valley Radiological Associates PC

  • Diagnostic Radiology Physician
  • Danbury, CT
National Provider Identifier
1902096324
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
HOUSATONIC VALLEY RADIOLOGICAL ASSOCIATES PC
Practice address
67 Sand Pit Rd
Suite 105
Danbury, CT 06810-4032
Phone
(203) 797-1770
Fax
(203) 796-7839
NPI assigned
Aug 1, 2007
Last updated
Mar 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Authorized official

Name
Conrad P Ehrlich, M.D.NPI 1053359893
Title
President
Phone
(203) 797-1770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary
Radiology Clinic/Center 261QR0200X

Addresses

Primary practice location

67 Sand Pit Rd
Suite 105
Danbury, CT 06810-4032

Mailing address

67 Sand Pit Rd
Danbury, CT 06810-4032
Phone (203) 797-1770

Other identifiers 2

IdentifierTypeStateIssuer
470000031OtherCTMEDICARE PROVIDER NUMBER
630000011OtherCTMEDICARE PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

131 Kent Rd
Ste 102
New Milford, CT 06776
Phone (860) 355-4212

38B Grove St
Unit C
Ridgefield, CT 06877
Phone (203) 894-3203

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1902096324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 SAND PIT RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104032",
            "telephone_number": "203-797-1770",
            "fax_number": "203-796-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 SAND PIT RD",
            "address_2": "SUITE 105",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104032",
            "telephone_number": "203-797-1770",
            "fax_number": "203-796-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSATONIC VALLEY RADIOLOGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "EHRLICH",
        "authorized_official_first_name": "CONRAD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-797-1770",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "470000031",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "630000011",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.