Neil D. Stein, MD, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

027253 Issued in CT

Legal business name

NEIL D. STEIN, MD, LLC

Practice address

12 N Main St
Suite 110
West Hartford, CT 06107-1932

Phone

(860) 232-2626

Fax

(860) 233-5407

NPI assigned

Nov 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Neil David Stein, MD

Title

Owner

Phone

(860) 232-2626

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1942480074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 N MAIN ST",
            "address_2": "SUITE 110",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071932",
            "telephone_number": "860-232-2626",
            "fax_number": "860-233-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N MAIN ST",
            "address_2": "SUITE 110",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071932",
            "telephone_number": "860-232-2626",
            "fax_number": "860-233-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL D. STEIN, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-232-2626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CT",
            "license": "027253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001272533",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurodiverse Heart, LLC
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• Primary Care Clinic/Center in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Primary Care Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.