PREFERRED MDCARE, LLC NPI 1003004847

Clinic/Center (Primary Care) in Stamford, CT

Organization Clinic/Center Primary Care

About PREFERRED MDCARE, LLC

Preferred Mdcare, Llc is a primary care provider established in Stamford, Connecticut specializing in clinic/center (primary care) . The NPI number of Preferred Mdcare, Llc is 1003004847 and was assigned on October 2007. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 8 years ago.

A primary care provider (PCP) like Preferred Mdcare, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc The authorized official of this NPI record is Vijay V Desai M.d. (Owner)

NPI

1003004847

Provider NamePREFERRED MDCARE, LLC
Provider Location Address180 TURN OF RIVER RD SUITE 8C STAMFORD, CT 06905
Provider Mailing Address144 SHADOW RIDGE RD STAMFORD, CT 06905
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-05-2007
Last Update Date10-02-2012

Primary Taxonomy

Taxonomy Code261QP2300X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationPrimary Care

Business Address

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

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Mailing Address

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

Authorized Official

Authorized Official Name VIJAY V DESAI M.D.
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

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary 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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.