Med-Gem LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

MED-GEM LLC

Doing business as

Lori L Greenwald MD

Practice address

1 Barnard LN
Bloomfield, CT 06002-2481

Phone

(860) 761-6666

Fax

(860) 761-1339

NPI assigned

Jun 4, 2019

Last updated

Feb 11, 2021By 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

Dr. Bruce Stein, MD

Title

Executive Director

Phone

(860) 761-6666

Specialties & licenses 1

Addresses

Other names 1

• Lori L Greenwald MD Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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.

• Lori L Greenwald, M.D.

  • Specialist
  • Bloomfield, CT
  • NPI 1073549978
  NPD (past)

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1932767050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BARNARD LN",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022481",
            "telephone_number": "860-761-6666",
            "fax_number": "860-761-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARNARD LN",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022481",
            "telephone_number": "860-761-6666",
            "fax_number": "860-761-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-GEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-761-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tzacca@vanishingveins.net",
            "affiliation": "N",
            "address_1": "1 Barnard Ln",
            "city": "Bloomfield",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060022481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lori L Greenwald MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lori L Greenwald MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mdlive Medical Group PA
• Mdlive Medical Group TX PLLC
• Mdlive Medical Group TX PLLC
• Mdlive Medical Group TX PLLC
• Mdlive Medical Group TX PLLC
• Medimind Solutions PLLC
• Alexis Marie Melendez
• Steven Meltzer, D.M.D.
• Raul Mendelovici, MD
• Scott J Merkelson, D.M.D.

• Vascular Surgery Physician in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Vascular Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.