NPIMap

Organization Active NPI

Connecticut Epilepsy Group PC

  • Neurology Physician
  • Stamford, CT
National Provider Identifier
1902195019
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
CONNECTICUT EPILEPSY GROUP PC
Practice address
733 Summer St
Suite 301
Stamford, CT 06901-1081
Phone
(914) 428-3651
Fax
(914) 428-2948
NPI assigned
Mar 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Authorized official

Name
Dr. Marcelo E Lancman, MDNPI 1609857010
Title
Director
Phone
(914) 428-3651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary
Clinical Neurophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0600X

Addresses

Primary practice location

733 Summer St
Suite 301
Stamford, CT 06901-1081

Mailing address

690 N Broadway
Suite GL1
White Plains, NY 10603-2417
Phone (914) 428-3651

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1902195019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 N BROADWAY",
            "address_2": "SUITE GL1",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106032417",
            "telephone_number": "914-428-3651",
            "fax_number": "914-428-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 SUMMER ST",
            "address_2": "SUITE 301",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069011081",
            "telephone_number": "914-428-3651",
            "fax_number": "914-428-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT EPILEPSY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-30",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "LANCMAN",
        "authorized_official_first_name": "MARCELO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "914-428-3651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.