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NORTHEAST MEDICAL GROUP INC. NPI 1043278351


NPI Information

NPI: 1043278351
Provider Name: NORTHEAST MEDICAL GROUP, INC.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
226 MILL HILL AVENUE
3RD FLR
BRIDGEPORT, CT
ZIP 06610
Phone: (203) 384-3975
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NORTHEAST MEDICAL GROUP, INC. is an internal medicine in Bridgeport, CT. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. NORTHEAST MEDICAL GROUP, INC. NPI is 1043278351. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

226 MILL HILL AVENUE
3RD FLR
BRIDGEPORT, CT
ZIP 06610
Phone: (203) 384-3975
Fax: (203) 384-3829

The provider's authorized official is Beata Bialczak .
The authorized official title is Manager and has the following contact phone number (203) 384-3975.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 12/22/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2106H00000XMarriage & Family TherapistNo
3133V00000XDietitian, RegisteredNo
4207P00000XEmergency MedicineNo
5207PE0004XEmergency MedicineEmergency Medical ServicesNo
6207R00000XInternal MedicineYes
7207RC0000XInternal MedicineCardiovascular DiseaseNo
8207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
9207V00000XObstetrics & GynecologyNo
10208000000XPediatricsNo
112084P0800XPsychiatry & NeurologyPsychiatryNo
12208600000XSurgeryNo
13213ES0103XPodiatristFoot & Ankle SurgeryNo
14363L00000XNurse PractitionerNo
15367500000XNurse Anesthetist, Certified RegisteredNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1004229317MEDICAIDCONNECTICUT
2008002043MEDICAIDCONNECTICUT
3008001858MEDICAIDCONNECTICUT
4004112257MEDICAIDCONNECTICUT
5004118396MEDICAIDCONNECTICUT
6004212958MEDICAIDCONNECTICUT
7004216984MEDICAIDCONNECTICUT
8008008038MEDICAIDCONNECTICUT
9004269173MEDICAIDCONNECTICUT
10004223517MEDICAIDCONNECTICUT
11004118388MEDICAIDCONNECTICUT
12004271631MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.