NPIMap

Organization Active NPI

Nephrology Associates of Northwestern Connecticut LLP

  • Nephrology Physician
  • Torrington, CT
National Provider Identifier
1962560458
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY ASSOCIATES OF NORTHWESTERN CONNECTICUT LLP
Practice address
780 Litchfield St
Suite 200
Torrington, CT 06790-6268
Phone
(860) 489-1984
Fax
(860) 496-2195
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Authorized official

Name
Michael T Kovalchik, MD
Title
Partner
Phone
(860) 489-1984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

780 Litchfield St
Suite 200
Torrington, CT 06790-6268

Mailing address

780 Litchfield St
Suite 200
Torrington, CT 06790-6268
Phone (860) 489-1984

Other names 1

  • Kovalchik Handelman Lifland Former legal business name

National Provider Directory

National Provider Directory

Locations

780 Litchfield St
Ste 200
Torrington, CT 06790
Phone (860) 482-8578

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1962560458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 LITCHFIELD ST",
            "address_2": "SUITE 200",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906268",
            "telephone_number": "860-489-1984",
            "fax_number": "860-496-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 LITCHFIELD ST",
            "address_2": "SUITE 200",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906268",
            "telephone_number": "860-489-1984",
            "fax_number": "860-496-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY ASSOCIATES OF NORTHWESTERN CONNECTICUT LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "KOVALCHIK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "860-489-1984",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kovalchik Handelman Lifland",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Torrington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.