CONNECTICUT HEART & VASCULAR CENTER, PC
NPI 1578508479
Internal Medicine - Cardiovascular Disease in Bridgeport, CT

NPI Status: Active since June 17, 2006

Contact Information

2979 MAIN ST
BRIDGEPORT, CT
ZIP 06606
Phone: (203) 333-8800

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease
  • CLIA Number: 07D2224857
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 05-16-2025

About CONNECTICUT HEART & VASCULAR CENTER, PC

This page provides the complete NPI Profile along with additional information for Connecticut Heart & Vascular Center, Pc, an internist established in Bridgeport, Connecticut operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1578508479 assigned on June 2006. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Faye S Landman Mpa (Practice Administrator)

NPI
1578508479
Provider Name
CONNECTICUT HEART & VASCULAR CENTER, PC
Entity Type
Organization
Location Address
2979 MAIN ST BRIDGEPORT, CT 06606
Location Phone
(203) 333-8800
Mailing Address
2979 MAIN ST BRIDGEPORT, CT 06606
Mailing Phone
(203) 333-8800
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-17-2006
Last Update Date
08-22-2020
Code Navigator

An internist like Connecticut Heart & Vascular Center, Pc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

FAYE S LANDMAN MPA

Authorized Official Title
PRACTICE ADMINISTRATOR
Authorized Official Phone
(203) 384-5109

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
07D2224857
Facility Type
Pharmacy
Certificate Effective Date
May 17, 2023
Certificate Expiration Date
May 16, 2025
Laboratory Director
SHAYMAA SALAMA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Connecticut Heart & Vascular Center, Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1578508479
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2514810016414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 1 + 0 + 0 + 1 + 6 + 4 + 1 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1578508479 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598761512DR. JOSEPH A ROSE MD
Individual
Internal Medicine (Cardiovascular Disease)2979 MAIN ST
BRIDGEPORT, CT 06606
(203) 333-8800
1265438279DR. ROBERT A CASERTA MD
Individual
Internal Medicine (Cardiovascular Disease)2979 MAIN ST
BRIDGEPORT, CT 06606
(203) 333-8800
1861499824DR. KENNETH R LISI MD
Individual
Internal Medicine (Cardiovascular Disease)2979 MAIN ST
BRIDGEPORT, CT 06606
(203) 333-8800
1891082079 LINETTE YADIRA ROSARIO TEJEDA MD
Individual
Family Medicine2979 MAIN ST
BRIDGEPORT, CT 06606
(203) 382-2345
1760516041 VENU CHANNAMSETTY MD
Individual
Internal Medicine (Cardiovascular Disease)2979 MAIN ST
BRIDGEPORT, CT 06606
(203) 683-5110
1699909432DR. ANJA WAGNER MD
Individual
Internal Medicine (Cardiovascular Disease)2979 MAIN ST
BRIDGEPORT, CT 06606
(203) 683-5100
1508487034 DANIEL KAPLAN PA
Individual
Physician Assistant2979 MAIN ST
BRIDGEPORT, CT 06606
(203) 382-2345
1326495474DR. JANELLE DUAH MD
Individual
Internal Medicine2979 MAIN ST
BRIDGEPORT, CT 06606
(203) 382-2345
1063824761DR. MARIA MIKOLAENKO DO
Individual
Family Medicine (Adult Medicine)2979 MAIN ST
BRIDGEPORT, CT 06606
(203) 382-2345
1043791478 DANIELLE C RIVERA
Individual
Nurse Practitioner (Family)2979 MAIN ST
BRIDGEPORT, CT 06606
(203) 382-2345
1356945182HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS, LLC
Organization
Internal Medicine2979 MAIN ST
BRIDGEPORT, CT 06606
(203) 382-2100
1538663257 ALEJANDRO JAIME VILLALONGA MD
Individual
Internal Medicine2979 MAIN ST
BRIDGEPORT, CT 06606
(203) 683-5100
1235647181 STEPHANIE LAROSE
Individual
Nurse Practitioner (Family)2979 MAIN ST
BRIDGEPORT, CT 06606
(203) 382-2345
1699388728 TRAVIS PYKA APRN FNP-C CEN
Individual
Nurse Practitioner (Family)2979 MAIN ST
BRIDGEPORT, CT 06606
(036) 835-1002
1578591780 TRACI J MARQUIS-EYDMAN MD
Individual
Family Medicine2979 MAIN ST
BRIDGEPORT, CT 06606
(203) 382-2345
1194599969 AMANDA RUSZCZYCKI
Individual
Physician Assistant2979 MAIN ST
BRIDGEPORT, CT 06606
(203) 683-5100
1255793956 ANNIKA NICOLE CHAMBERS MD
Individual
Internal Medicine2979 MAIN ST
BRIDGEPORT, CT 06606
(203) 382-2345
1427632009 ALEJANDRO RAFAEL VILLANUEVA MD
Individual
Internal Medicine2979 MAIN ST
BRIDGEPORT, CT 06606
(203) 382-2345
1629524525 CAROLYN PUGLISI
Individual
Nurse Practitioner (Acute Care)2979 MAIN ST
BRIDGEPORT, CT 06606
(203) 683-5100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578508479, enumerated in the NPI registry as an "organization" on June 17, 2006

The provider is located at 2979 Main St Bridgeport, Ct 06606 and the phone number is (203) 333-8800

This medical organization specializes in Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease

The provider's CLIA number is 07D2224857 for a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.