NORTHEAST RADIOLOGY OF CT LLC (NPI# 1780855569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780855569 |
| Entity Type | Organization |
| Organization Name | NORTHEAST RADIOLOGY OF CT LLC |
| Practice Address |
31 Old Route 7 Northeast Radiology Brookfield CT 06804 |
| Mailing Address |
3839 Danbury Rd Northeast Radiology Brewster NY 10509 |
| Practice Telephone | 8452786200 |
| Practice Fax Number | 8452787257 |
| Mailing Telephone | 8452786200 |
| Mailing Fax Number | 8452787257 |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |
| Authorized Official Name | SCOTT NADEL (MD) |
| 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 |
|---|---|---|---|---|
| 1639168115 | Northeast Radiology of Ct LLC | Radiology | 21 Elm St, New Milford, CT 06776-2915 | 2005-10-18 |
| Street Address |
31 OLD ROUTE 7 NORTHEAST RADIOLOGY |
| City | BROOKFIELD |
| State | CT |
| Zip Code | 06804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124011457 | Larry Stephen Wasser | Internal Medicine | 31 Old Route 7, Ste 1a, Brookfield, CT 06804-1714 | 2005-08-23 |
| 1588262398 | Brooke Pawlak | Physical Therapist | 31 Old Route 7, Brookfield, CT 06804-1711 | 2020-10-14 |
| 1194204644 | Amara Primary Care LLC | Family Medicine | 31 Old Route 7, Brookfield, CT 06804-1711 | 2018-08-07 |
| 1992231880 | Siem Brinn | Massage Therapist | 31 Old Route 7, Brookfield, CT 06804-1711 | 2017-05-11 |
| 1487188892 | Edinam Akwasi Cudjoe | General Acute Care Hospital | 31 Old Route 7, Brookfield, CT 06804-1711 | 2017-04-13 |
| 1154866879 | Urgent Care Medical of New York, LLC | Clinic/Center | 31 Old Route 7, Brookfield, CT 06804-1711 | 2017-01-04 |
| 1336519537 | Urgent Care of Waterbury, LLC | Clinic/Center | 31 Old Route 7, Brookfield, CT 06804-1711 | 2015-09-30 |
| 1043651003 | Kimberly Carr | Nurse Practitioner | 31 Old Route 7, Brookfield, CT 06804-1711 | 2013-07-07 |
| 1790129039 | Orthoconnecticut, PC | Orthopaedic Surgery | 31 Old Route 7, Brookfield, CT 06804-1711 | 2013-04-17 |
| 1538415286 | Bruce Kistopher Roff | Acupuncturist | 31 Old Route 7, Brookfield, CT 06804-1711 | 2012-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306366620 | Tara Hanlon | Nurse Practitioner | 14 Shamrock Drive, Brookfield, CT 06804 | 2017-06-27 |
| 1558804617 | Total Assurance Home Healthcare | Respite Care | 6 Oak Branch Dr, Brookfield, CT 06804 | 2016-11-22 |
| 1154878619 | Regional Young Men's Christian Association of Western Connecticut, Inc | Health Educator | 241 Federal Road, Unit B21, Brookfield, CT 06804 | 2016-09-01 |
| 1285048330 | Altagracia Trinidad | Counselor | 40 Laurel Hill Rd Unit 308, Brookfield, CT 06804 | 2014-06-17 |
| 1619380276 | Benjamin Burke Clippinger | Orthopaedic Surgery | Greenknoll Professional Center, 60 Old New Milford Road, Suite 3e, Brookfield, CT 06804 | 2014-06-11 |
| 1801140371 | Christina M Muggeo | Physical Therapist | 60 Old New Milford Rd Ste 3a, Brookfield, CT 06804 | 2012-11-05 |
| 1952549099 | Joan P Draper | Ophthalmology | 17 Cove Rd, Brookfield, CT 06804 | 2009-01-28 |
| 1588822035 | Jillian Delorme | Psychologist | 828 Federal Rd Fl 2, Brookfield, CT 06804 | 2008-05-30 |
| 1740488212 | Nicholas Rutigliano | Physical Therapist | 3 Federal Rd Ste 100, Brookfield, CT 06804 | 2007-07-06 |
| 1851431373 | Arnold Stuart Zentner | Psychiatry & Neurology | 4 Twin Rocks Road, Brookfield, CT 06804 | 2007-02-07 |
| Find all providers in zip 06804 | ||||
| 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 |
|---|---|---|---|---|
| 1477786812 | William Stuart Goell | Radiology | 19095 Blue Ridge Ct, Brookfield, WI 53045-5103 | 2009-09-02 |
| 1790948438 | David Leon Baugh | Radiology | 18650 W Corporate Dr, Suite #102, Brookfield, WI 53045-6344 | 2008-07-02 |
| 1952497836 | John C Garriott | Radiology | 671 Edgewood Dr Se, Brookfield, OH 44403-9720 | 2006-10-05 |
| 1922022797 | Edward H Aprahamian | Radiology | 2575 Coach House Ct, Brookfield, WI 53045-4207 | 2006-07-26 |
| 1134144025 | Susan C Minikel | Radiology | 15905 Heather Hill Dr, Brookfield, WI 53005-2267 | 2006-07-13 |
| 1174585582 | Laura Field | Radiology | 1905 N Calhoun Rd, Brookfield, WI 53005 | 2006-04-03 |
| 1902886096 | Open Advanced Mri of Milwaukee, LLC | Radiology | 12780 W North Ave, B, Brookfield, WI 53005-4628 | 2006-01-17 |
| 1518914696 | Brookfield Radiology, Sc | Radiology | 19333 W North Ave, Brookfield, WI 53045-4132 | 2006-05-27 |
| 1902873995 | David R Fisher | Radiology | 17000 W North Ave, Suite 200e, Brookfield, WI 53005-4423 | 2006-03-08 |
| 1255308250 | Joseph B Lee | Radiology | 17000 W North Ave, Suite 200e, Brookfield, WI 53005-4423 | 2006-03-08 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 06804 |
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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.