EDWARD MCDERMOTT MD NPI 1518090976

NPI Information

  • NPI: 1518090976
  • Provider Name: EDWARD MCDERMOTT MD
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Organization
  • Address: 276 MONTAUK AVE # R
    NEW LONDON, CT
    ZIP 06320
  • Phone: (860) 442-0930

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NPI Details

EDWARD MCDERMOTT MD is a nurse practitioner in New London, CT. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. EDWARD MCDERMOTT MD NPI is 1518090976. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

276 MONTAUK AVE # R
NEW LONDON, CT
ZIP 06320-727
Phone: (860) 442-0930
Fax: (860) 447-8598

The provider's authorized official is Edward Mcdermott .
The authorized official title is Owner and has the following contact phone number (860) 442-0930.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 8/22/2020.

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
1363L00000XNurse PractitionerB84483CONNECTICUTYes

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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