PREFERRED MDCARE, LLC NPI 1003004847

Clinic/Center (Primary Care) in Stamford, CT

About PREFERRED MDCARE, LLC

Preferred Mdcare, Llc is a provider in Stamford, CT. The NPI number assigned to this provider is 1003004847. The practitioner's primary taxonomy code is Clinic/Center (261QP2300X). The provider is registered as an organization and their NPI record was last updated 5 years ago.

NPI1003004847 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NamePREFERRED MDCARE, LLC
Provider Location Address180 TURN OF RIVER RD SUITE 8C STAMFORD, CT 06905 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address144 SHADOW RIDGE RD STAMFORD, CT 06905 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date10-05-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-02-2012 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

PREFERRED MDCARE, LLC
180 TURN OF RIVER RD
SUITE 8C
STAMFORD, CT
ZIP 06905
Phone: (203) 820-7224
Fax: (203) 355-9808
Get Directions

Mailing Address

PREFERRED MDCARE, LLC
144 SHADOW RIDGE RD
STAMFORD, CT
ZIP 06905
Phone: (203) 820-7224
Fax: (203) 355-9808

Primary Taxonomy

Taxonomy Code261QP2300X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationPrimary Care

Authorized Official

Authorized Official Name VIJAY V DESAI M.D. Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleOWNER
Authorized Official Phone(203) 820-7224

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
C03412MEDICARE PIN (08)CT

Map Location


PREFERRED MDCARE, LLC address is 180 TURN OF RIVER RD SUITE 8C STAMFORD, CT 06905