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GUARDIAN HEALTH CENTER, PA
NPI 1184839128
Family Medicine in Niantic, CT

Active since May 12, 2007
179 FLANDERS RD, NIANTIC, CT 06357(860) 949-3040 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2024, Jul 31, 2024 (2 updates tracked since 2024).

About Guardian Health Center, Pa NPPES

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

GUARDIAN HEALTH CENTER, PA (NPI 1184839128) is a healthcare organization registered as a family medicine in Niantic, Connecticut and active in the NPI registry since May 2007. The organization lists Troy Frazer, President, as its authorized official.

NPPES Registry Identity

NPI1184839128
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGUARDIAN HEALTH CENTER, PA
Location Address179 FLANDERS RDNiantic, CT 06357-1206
Mailing Address179 Flanders RdNiantic, CT 06357-1206 · (860) 949-3040
Phone(860) 949-3040
Organization SubpartNo
Authorized OfficialTroy FrazerPresident · (860) 949-3040
Enumeration DateMay 12, 2007
Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
✔ NPI 1184839128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
179 FLANDERS RD, Niantic, CT 06357
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 of Waiver 07D2309847

Guardian Health Center, PA · Niantic, CT
Expired · Aug 21, 2026
CLIA Number07D2309847
Laboratory TypePhysician Office
Certificate Effective DateAugust 22, 2024
Certificate Expiration DateAugust 21, 2026
Laboratory DirectorTroy D. Frazer
Laboratory Phone(860) 949-3040
Laboratory LocationGuardian Health Center, PA179 Flanders Rd, Niantic, CT 06357
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORWICH OPHTHALMOLOGY OPTICAL
Eyewear Supplier
179 FLANDERS RD
NIANTIC, CT 06357
Southeastern Connecticut Planning Region (860) 447-8664
TROY D. FRAZER D.O.
Family Medicine
179 FLANDERS RD
NIANTIC, CT 06357
Southeastern Connecticut Planning Region (860) 949-3040
KENNETH N JOHNSON
Technician/Technologist (Optician)
179 FLANDERS RD
NIANTIC, CT 06357
Southeastern Connecticut Planning Region (860) 691-0279

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 Guardian Health Center, PA's NPI number?

The NPI number for Guardian Health Center, PA is 1184839128. It was assigned to this organization in the NPPES registry on May 12, 2007.

Where is Guardian Health Center, PA located?

Guardian Health Center, PA is located at 179 Flanders Rd, Niantic, CT 06357. The listed phone number is (860) 949-3040.

What is Guardian Health Center, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Guardian Health Center, PA was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.