Individual provider Active NPI

Michael James Lemay, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Vernon, CT
National Provider Identifier
1962533380
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
221122 Issued in MA
Practice address
460 Hartford Tpke
Suite a
Vernon, CT 06066-4845
Phone
(860) 896-4877
Fax
(860) 896-4876
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 221122 MA Primary

Addresses

Primary practice location

460 Hartford Tpke
Suite a
Vernon, CT 06066-4845

Mailing address

301 Mill Pond Dr
South Windsor, CT 06074-3595
Phone (860) 648-1281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070629000483 CT Practitioner - EndocrinologyPractitioner - Internal Medicine 0648246850 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
221122MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital CurrentSince Jun 5, 2007 Accepting new patients
Hartford Healthcare Medical Group, Inc CurrentSince Aug 1, 2014 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jun 1, 2019 Accepting new patients
Hartford Hospital Current Accepting new patients
Hartford Hospital CurrentSince Jun 5, 2007 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Endocrinology, Diabetes & Metabolism CurrentSince Jun 1, 2019 Accepting new patients
Holyoke Medical Center, Inc. PastSince Oct 24, 1995 Accepting new patients
Eastern Connecticut Medical Professionals Foundation Inc Endocrinology, Diabetes & Metabolism Past Accepting new patients
Holyoke Medical Center, Inc. Past Accepting new patients

Locations

1000 Lafayette Blvd
Ste 1100
Bridgeport, CT 06604
Phone (203) 513-9456

100 Hazard Ave
Ste 206
Enfield, CT 06082
Phone (860) 696-4275

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1962533380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MILL POND DR",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743595",
            "telephone_number": "860-648-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 HARTFORD TPKE",
            "address_2": "SUITE A",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664845",
            "telephone_number": "860-896-4877",
            "fax_number": "860-896-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMAY",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MA",
            "license": "221122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.