Jon Gaudio LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

040569 Issued in CT

Legal business name

JON GAUDIO LLC

Practice address

393 Fishtown Rd
Mystic, CT 06355-2039

Phone

(860) 536-6278

NPI assigned

May 23, 2007

Last updated

Aug 22, 2020By 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. Jon C Gaudio, M.D.NPI 1205885258

Title

MD

Phone

(860) 536-6278

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Jon C Gaudio, M.D.

  • Cardiovascular Disease Physician
  • Waterford, CT
  • NPI 1205885258
  NPD (past) Authorized official
• Robert John Kupis, PA-C

  • Physician Assistant
  • Waterford, CT
  • NPI 1285676353

  Cardiovascular Disease

  NPD (past)
• Bethany Luciani Miller, PA-C

  • Physician Assistant
  • Uncasville, CT
  • NPI 1639111891

  Cardiovascular Disease

  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972713253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 FISHTOWN RD",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063552039",
            "telephone_number": "860-536-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 FISHTOWN RD",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063552039",
            "telephone_number": "860-536-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON GAUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAUDIO",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "860-536-6278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "040569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Paul James
• Giulia Jaramillo, MS LMFT
• Jason T Cerro LPC Inc.
• Jean Allbee-Roberson LMFT LLC (Alliance Counseling)
• John R. West MD Inc (Seaport Dermatology)
• Mary E Jordan, LMFT, LADC, CEAP
• Edwin Dej. Perry Joseph III, PH.D.
• Kairos Therapy Center LLC
• Kathys Breastfeeding Nook
• Sara Jane Kattirtzi, LCSW

• Cardiovascular Disease Physician in Mystic, CT
• Providers in Mystic, CT by specialty
• Cardiovascular Disease Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.