NPIMap

Organization Active NPI

Northeast Radiology of Connecticut, LLC

  • Physiological Laboratory
  • Danbury, CT
National Provider Identifier
1992180350
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
NORTHEAST RADIOLOGY OF CONNECTICUT, LLC
Practice address
67 Sand Pit Rd
Danbury, CT 06810-4032
Phone
(203) 797-1770
Fax
(203) 796-7839
NPI assigned
Jul 28, 2015
Last updated
Aug 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Howard Lee, MDNPI 1396728796
Title
President
Phone
(845) 278-6200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

67 Sand Pit Rd
Danbury, CT 06810-4032

Mailing address

3839 Danbury Rd
Brewster, NY 10509-5412
Phone (845) 278-6200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1992180350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 DANBURY RD",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105095412",
            "telephone_number": "845-278-6200",
            "fax_number": "845-278-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 SAND PIT RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104032",
            "telephone_number": "203-797-1770",
            "fax_number": "203-796-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST RADIOLOGY OF CONNECTICUT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-278-6200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.