Advanced Minimally Invasive Surgery, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ADVANCED MINIMALLY INVASIVE SURGERY, LLC

Practice address

32 Strawberry Hill CT
Suite 41052
Stamford, CT 06902-2594

Phone

(203) 327-4444

Fax

(203) 724-4484

NPI assigned

Sep 15, 2007

Last updated

Oct 31, 2019By 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

James Bonheur, MDNPI 1972796118

Title

Physician/Owner

Phone

(203) 327-4444

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 6

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.

• James A. Bonheur, MD

  • Surgery Physician
  • Stamford, CT
  • NPI 1972796118
  Medicare reassignment Care Compare group NPD Authorized official
• Albert Anthony Luongo, MS,PA-C

  • Medical Physician Assistant
  • Stamford, CT
  • NPI 1427142058
  Medicare reassignment Care Compare group
• Angelica M. Arteaga-Blasio, NP

  • Nurse Practitioner
  • Stamford, CT
  • NPI 1477165041
  Medicare reassignment NPD
• Jai Prasad, M.B.B.S.

  • Surgery Physician
  • White Plains, NY
  • NPI 1679877583

  CT

  Medicare reassignment NPD
• Iris Wertheim, M.D.

  • Gynecologic Oncology Physician
  • Mount Kisco, NY
  • NPI 1417938192
  NPD
• Beth G Liebmann, P.A.

  • Physician Assistant
  • Stamford, CT
  • NPI 1689690687
  NPD (past)

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

{
    "created_epoch": "1189814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1922294727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 STRAWBERRY HILL CT STE 41052",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022777",
            "telephone_number": "203-327-4444",
            "fax_number": "203-724-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 STRAWBERRY HILL CT",
            "address_2": "SUITE 41052",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022594",
            "telephone_number": "203-327-4444",
            "fax_number": "203-724-4484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 S Regent St",
            "address_purpose": "LOCATION",
            "city": "Port Chester",
            "state": "NY",
            "postal_code": "10573",
            "country_code": "US",
            "telephone_number": "203-327-4444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Corporate Dr Ste 186",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "CT",
            "postal_code": "06484",
            "country_code": "US",
            "telephone_number": "203-327-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED MINIMALLY INVASIVE SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-15",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "BONHEUR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "203-327-4444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008054020",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.