CONNECTICUT KIDNEY & HYPERTENSION SPECIALISTS LLC NPI 1962651968

NPI Information

  • NPI: 1962651968
  • Provider Name: CONNECTICUT KIDNEY & HYPERTENSION SPECIALISTS, LLC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • CLIA Number: 07D0099958
  • Address: 140 GRANDVIEW AVE
    WATERBURY, CT
    ZIP 06708
  • Phone: (203) 597-9733

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NPI Details

CONNECTICUT KIDNEY & HYPERTENSION SPECIALISTS, LLC is a nephrology internal medicine in Waterbury, CT. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. CONNECTICUT KIDNEY & HYPERTENSION SPECIALISTS, LLC NPI is 1962651968. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

140 GRANDVIEW AVE
WATERBURY, CT
ZIP 06708-505
Phone: (203) 597-9733
Fax: (203) 597-9732

The provider's authorized official is Marc Ciampi .
The authorized official title is Group Member and has the following contact phone number (203) 597-9733.

The CLIA number assigned to this NPI record is 07D0099958 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/15/2008 and was last updated on 1/5/2023.

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
1207RN0300XInternal MedicineNephrology030022CONNECTICUTYes

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
1001300227MEDICAIDCONNECTICUT

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: 3/30/2025

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