NORTHEAST RADIOLOGY OF CONNECTICUT, LLC (NPI# 1356813505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356813505 |
| Entity Type | Organization |
| Organization Name | NORTHEAST RADIOLOGY OF CONNECTICUT, LLC |
| Practice Address |
40 Old Ridgebury Rd Ste 103 Danbury CT 06810-5119 |
| Mailing Address |
18201 Von Karman Ave Ste 600 Irvine CA 92612-1176 |
| Practice Telephone | 2033504005 |
| Mailing Telephone | 8005443215 |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2019-02-27 |
| Authorized Official Name | HOWARD LEE (PARTNER) |
| Authorized Official Telephone | 8452786200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023498805 | Northeast Radiology of Connecticut, LLC | Radiology | 67 Sand Pit Rd Ste 101, Danbury, CT 06810-4032 | 2015-06-05 |
| 1205342771 | Northeast Radiology of Connecticut, LLC | Radiology | 153 S Main St, Newtown, CT 06470-2791 | 2017-12-20 |
| 1386029742 | Northeast Radiology of Connecticut, LLC | Physiological Laboratory | 67 Sand Pit Rd Ste 101, Danbury, CT 06810-4032 | 2015-07-28 |
| 1992180350 | Northeast Radiology of Connecticut, LLC | Physiological Laboratory | 67 Sand Pit Rd, Danbury, CT 06810-4032 | 2015-07-28 |
| 1669461133 | Northeast Radiology of Connecticut, LLC | Radiology | 73 Sand Pit Rd, Danbury, CT 06810-4042 | 2005-10-18 |
| Street Address |
40 OLD RIDGEBURY RD STE 103 |
| City | DANBURY |
| State | CT |
| Zip Code | 06810-5119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023575800 | Hvra of New Milford, LLC | Radiology | 40 Old Ridgebury Rd Ste 103, Danbury, CT 06810-5119 | 2019-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
| 1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
| 1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
| 1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
| 1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
| 1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
| 1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
| 1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
| Find all providers in zip 06810 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023498805 | Northeast Radiology of Connecticut, LLC | Radiology | 67 Sand Pit Rd Ste 101, Danbury, CT 06810-4032 | 2015-06-05 |
| 1972946044 | Bradley A. Mattson | Radiology | 50 Warrington Round, Danbury, CT 06810-5169 | 2013-04-09 |
| 1003804709 | Specialty Imaging Associates, LLC | Radiology | 2 Riverview Drive, Suite 104, Danbury, CT 06810 | 2005-10-07 |
| 1023575800 | Hvra of New Milford, LLC | Radiology | 40 Old Ridgebury Rd Ste 103, Danbury, CT 06810-5119 | 2019-02-27 |
| 1932583630 | Hvra of Danbury, LLC | Radiology | 67 Sand Pit Rd, Suite 105, Danbury, CT 06810-4084 | 2015-07-13 |
| 1275883571 | Allison Nicole Rubin | Radiology | 24 Hospital Ave, Danbury, CT 06810-6099 | 2012-09-13 |
| 1093980377 | Douglas Jackson Davis | Radiology | 24 Hospital Ave, Danbury, CT 06810-6099 | 2008-04-28 |
| 1629273784 | Northeast Radiology | Radiology | 103 Newtown Rd, Danbury, CT 06810-4143 | 2007-06-19 |
| 1952419095 | Joseph P Santoro | Radiology | 24 Hospital Ave, Danbury, CT 06810-6099 | 2006-08-28 |
| 1164466744 | Michael D Hollander | Radiology | 2 Riverview Dr, Danbury, CT 06810-6268 | 2006-06-15 |
| Find all providers in DANBURY | ||||
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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.