MADISON RADIOLOGY PC NPI 1215967260

NPI Information

  • NPI: 1215967260
  • Provider Name: MADISON RADIOLOGY, PC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 2 SAMSON ROCK DR
    MADISON, CT
    ZIP 06443
  • Phone: (203) 245-7351

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NPI Details

MADISON RADIOLOGY, PC is a diagnostic radiology radiology in Madison, CT. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MADISON RADIOLOGY, PC NPI is 1215967260. The provider is registered as an organization entity type.

The provider's business location address is:

2 SAMSON ROCK DR
MADISON, CT
ZIP 06443-005
Phone: (203) 245-7351
Fax: (203) 245-8838

The provider's authorized official is Bernard Jay .
The authorized official title is President and has the following contact phone number (203) 245-7351.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 1/2/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0206XClinic/CenterRadiology, Mammography02984CONNECTICUTNo
22085R0202XRadiologyDiagnostic Radiology02984CONNECTICUTYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D100000221MEDICARE PINCONNECTICUT

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: 11/21/2025

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