NORWICH CARDIAC MEDICINE LLC (NPI# 1780727925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780727925 |
| Entity Type | Organization |
| Organization Name | NORWICH CARDIAC MEDICINE LLC |
| Practice Address |
130 New London Tpke Norwich CT 06360-2624 |
| Practice Telephone | 8605180126 |
| Mailing Telephone | 8605180126 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | JAI CHAKRABARTI (PHYSICIAN OWNER) |
| Authorized Official Telephone | 8605180126 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | RAIL ROAD MEDICARE | DF8408 | 01 |
| Street Address |
130 NEW LONDON TPKE |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-2624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275527772 | Steven L Berke | Dentist | 130 New London Tpke, Norwich, CT 06360-2624 | 2005-09-12 |
| 1962715169 | Katharine Tumampos Decena | Internal Medicine | 130 New London Tpke, Norwich, CT 06360-2624 | 2010-07-16 |
| 1215123807 | Norwich Oral & Maxillofacial Surgeons, PC | Dentist | 130 New London Tpke, Norwich, CT 06360-2624 | 2007-09-18 |
| 1235289190 | Christopher Todd Trailor | Dentist | 130 New London Tpke, Norwich, CT 06360-2624 | 2007-01-11 |
| 1659323855 | Amr Mohamed Atef | Internal Medicine | 130 New London Tpke, Norwich, CT 06360-2624 | 2006-05-16 |
| 1164416699 | Donald A Amaro | Dentist | 130 New London Tpke, Norwich, CT 06360-2624 | 2005-09-12 |
| 1740286632 | Jai Chakrabarti | Internal Medicine | 130 New London Tpke, Norwich Cardiac Medicine, Norwich, CT 06360-2624 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083667265 | Francis Mirecki | Internal Medicine | 164 Otrobando Ave, Suite 102, Norwich, CT 06360-2116 | 2006-05-18 |
| 1184620064 | Jeffrey P Seltzer | Internal Medicine | 79 Wawecus St, Suite 106, Norwich, CT 06360-2160 | 2005-06-24 |
| 1962715169 | Katharine Tumampos Decena | Internal Medicine | 130 New London Tpke, Norwich, CT 06360-2624 | 2010-07-16 |
| 1326233511 | James K Obrien | Internal Medicine | 179 N Broad St, Norwich, NY 13815-1019 | 2007-09-11 |
| 1649332164 | Cardiology Associates of Norwich, LLC | Internal Medicine | 79 Wawecus St, Suite 106, Norwich, CT 06360-2160 | 2006-12-14 |
| 1407937469 | John R. Brereton | Internal Medicine | 179 N Broad St, Norwich, NY 13815-1019 | 2006-10-18 |
| 1265489959 | Gohar Jamil | Internal Medicine | 79 Wawecus St, Suite 106, Norwich, CT 06360-2160 | 2006-05-28 |
| 1104896224 | Michael J Fucci | Internal Medicine | 79 Wawecus St, Suite #106, Norwich, CT 06360-2160 | 2006-01-23 |
| 1023005667 | Ting Li | Internal Medicine | 79 Wawecus St, Suite 106, Norwich, CT 06360-2160 | 2005-09-29 |
| 1326044124 | John A Foley | Internal Medicine | 79 Wawecus St, Norwich, CT 06360-2160 | 2005-06-27 |
| Find all providers in NORWICH | ||||
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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.