DIAGNOSTIC IMAGING OF SOUTHBURY (NPI# 1245252824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245252824 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC IMAGING OF SOUTHBURY |
| Practice Address |
385 Main St South Nvra Union Square Bldg 2 Southbury CT 06488 |
| Mailing Address |
385 Main St South Nvra Union Square Bldg #1 Southbury CT 06488 |
| Practice Telephone | 2032647999 |
| Practice Fax Number | 2032647477 |
| Mailing Telephone | 2032647999 |
| Mailing Fax Number | 2032647477 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2013-06-06 |
| Authorized Official Name | DR. ROBERT GUMBARDO (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2032647999 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | NAUGATUCK VALLEY RADIOLOGICAL ASSOC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities | ||
| N | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
Ambulatory Health Care Facilities | ||
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004194718 | 05 |
| Street Address |
385 MAIN ST SOUTH NVRA UNION SQUARE BLDG 2 |
| City | SOUTHBURY |
| State | CT |
| Zip Code | 06488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619973823 | Bipinchandra Jagjivan | Radiology | 385 Main St South, Union Square Bldg #1 Nvra Imaging Network, Southbury, CT 06488 | 2005-06-22 |
| 1538249065 | Geoffrey L Manton | Radiology | 385 Main St South, Union Square, Southbury, CT 06488 | 2006-10-17 |
| 1346274255 | Robert Gumbardo | Radiology | 385 Main St South, Union Square, Southbury, CT 06488 | 2006-07-10 |
| 1871527788 | Jeffrey Hawley | Radiology | 385 Main St South, Union Square, Southbury, CT 06488 | 2006-07-10 |
| 1780618694 | Mark Johnson | Radiology | 385 Main St South, Union Square, Southbury, CT 06488 | 2006-07-10 |
| 1578597308 | Philip Rothfeld | Radiology | 385 Main St South, Union Square, Bldg#1, Southbury, CT 06488 | 2006-07-10 |
| 1114959541 | Matthew Bushey | Radiology | 385 Main St South, Union Square, Southbury, CT 06488 | 2006-07-07 |
| 1699707018 | Carolyn Ajemian | Radiology | 385 Main St South, Union Square, Southbury, CT 06488 | 2006-07-07 |
| 1184652711 | Gina Rupert | Physician Assistant | 385 Main St South, Ste 301 Union Square, Southbury, CT 06488 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538646229 | Katherine Whalen | Physical Therapist | 655 Main Sreet South, Southbury, CT 06488 | 2018-07-25 |
| 1346779618 | Prestige Companion & Homemakers, LLC | Homemaker | 32 Poverty Rd, Suite F, Southbury, CT 06488 | 2017-06-08 |
| 1407225873 | Mary Synnott | Occupational Therapist | 25 Depot Hill Rd, Southbuty, CT 06488 | 2015-09-16 |
| 1568854735 | Jean Piacenza | Social Worker | 505 Heritage Road, Suite 104, Southbury, CT 06488 | 2015-02-25 |
| 1295174993 | Saeeda Qadri | Internal Medicine | 22 Old Waterbury Rd Ste 108, Southbury, CT 06488 | 2013-06-17 |
| 1538502133 | Hearing Aid Services Inc | Audiologist-Hearing Aid Fitter | 1449 Old Waterbury Rd Ste 303, Southbury, CT 06488 | 2013-04-12 |
| 1992064380 | Maria Hornak-houle | Social Worker | 88 Main St. S, Southbury, CT 06488 | 2012-05-07 |
| 1255641072 | Rebecha Kay Sullivan | Social Worker | 35 Timberland Way, Southbury, CT 06488 | 2010-10-14 |
| 1619115094 | Jennie L Kempf | Counselor | 33 Bullet Hill Rd Ste 204, Southbury, CT 06488 | 2009-01-23 |
| 1891949434 | Kelly Patrice Hochstetler | Occupational Therapist | 22 Old Waterbury Rd., Suite 101, Phys. Med. Ctr. of Southbury, Southbury, CT 06488 | 2008-11-10 |
| Find all providers in zip 06488 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700330883 | Prestige Diagnostic Imaging LLC | Clinic/Center | 60 Yowago Ave, Branford, CT 06405-5543 | 2016-08-07 |
| 1093138828 | Connecticut Womens Imaging | Clinic/Center | 105 Newtown Rd Ste C, Danbury, CT 06810-4194 | 2014-01-30 |
| 1699056135 | Southern Connecticut Imaging Centers, LLC | Clinic/Center | 2543 Dixwell Ave Ste 100, Hamden, CT 06514-1860 | 2011-08-29 |
| 1740387182 | Western Connecticut Health Network Affiliates, Inc. | Clinic/Center | 901 Ethan Allen Highway, Suite 104, Ridgefield, CT 06877 | 2006-09-20 |
| 1043232622 | Naugatuck Diagnostic Imaging | Clinic/Center | 305 Church Street, Naugatuck, CT 06770 | 2006-07-24 |
| 1639113319 | Echn Wellness Services, Inc. | Clinic/Center | 2800 Tamarack Drive, Suite 001, South Windsor, CT 06074 | 2006-06-15 |
| 1023062502 | Western Connecticut Health Network Affiliates, Inc. | Clinic/Center | 20 Germantown Road, Danbury, CT 06810 | 2006-05-20 |
| 1154810828 | Sanitas of Connecticut LLC | Clinic/Center | 4551 Main St, Bridgeport, CT 06606-1818 | 2018-05-08 |
| 1407234149 | Clinisanitas, PC | Clinic/Center | 100 Boston Post Rd, Orange, CT 06477-3233 | 2015-05-14 |
| 1821402306 | New York Society for The Relief of The Ruptured and Crippled | Clinic/Center | 1 Blachley Rd, Hss Stamford Outpatient Center, Stamford, CT 06902-0002 | 2014-06-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.