NORTHEAST MEDICAL GROUP, INC.
NPI 1043278351
Internal Medicine in Bridgeport, CT

Active since May 03, 2006CLIA 41D2074587 · Microscopy
226 MILL HILL AVENUE, 3RD FLR, BRIDGEPORT, CT 06610(203) 384-3975(203) 384-3829 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 18, 2026, Dec 22, 2021, May 1, 2019 and 1 more (4 updates tracked since 2019).

About Northeast Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST MEDICAL GROUP, INC. (NPI 1043278351) is a healthcare organization registered as an internal medicine in Bridgeport, Connecticut and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through March 11, 2028, maintains 7 additional practice locations, and lists Beata Bialczak, Manager, as its authorized official.

NPPES Registry Identity

NPI1043278351
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNORTHEAST MEDICAL GROUP, INC.
Location Address226 MILL HILL AVENUE, 3RD FLRBridgeport, CT 06610
Mailing AddressPo Box 415126Boston, MA 02241-0001 · (203) 384-3975 · Fax (203) 384-3829
Fax(203) 384-3829
Organization SubpartNo
Authorized OfficialBeata BialczakManager · (203) 384-3975
Enumeration DateMay 3, 2006
Last NPPES UpdateMay 18, 20264 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
NPI 1043278351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedSurgeryTaxonomy 208600000X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
226 MILL HILL AVENUE, Bridgeport, CT 06610

Secondary Practice Locations 7

Location 125 Wells StWesterly, RI 02891-2922 · Phone (401) 596-6000
Location 223 Clara DrMystic, CT 06355-1959 · Phone (860) 572-5782
Location 3194 Howard StNew London, CT 06320-5544 · Phone (860) 271-4655
Location 491 Voluntown RdPawcatuck, CT 06379-1389 · Phone (860) 599-5477
Location 5404 Thames StGroton, CT 06340-3959 · Phone (860) 445-0494
Location 645 Wells StWesterly, RI 02891-2961 · Phone (860) 271-4655
Location 7365 Montauk AveNew London, CT 06320-4700 · Phone (860) 442-0711

Other Identifiers 12

Medicaid004112257CT
Medicaid008008038CT
Medicaid004118388CT
Medicaid004223517CT
Medicaid004118396CT
Medicaid008001858CT
Medicaid004212958CT
Medicaid004229317CT
Medicaid008002043CT
Medicaid004216984CT
Medicaid004269173CT
Medicaid004271631CT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 41D2074587

Northeast Medical Group · Westerly, RI
Active · expires Mar 11, 2028
CLIA Number41D2074587
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorH Anthony Carter MD
Laboratory Phone(203) 502-6509
Laboratory LocationNortheast Medical Group45 Wells St, Westerly, RI 02891
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeast Medical Group, Inc.'s NPI number?

The NPI number for Northeast Medical Group, Inc. is 1043278351. It was assigned to this organization in the NPPES registry on May 3, 2006.

Where is Northeast Medical Group, Inc. located?

Northeast Medical Group, Inc. is located at 226 Mill Hill Avenue 3rd Flr, Bridgeport, CT 06610. The listed phone number is (203) 384-3975.

What is Northeast Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Northeast Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 41D2074587) is associated with this NPI, valid through March 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northeast Medical Group, Inc. was last updated on May 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.