POMFRET STREET FAMILY MEDICINE
NPI 1194966556
Family Medicine in Putnam, CT

Active since March 16, 2009
235 POMFRET ST, PUTNAM, CT 06260(860) 928-0493(860) 928-9255 Get Directions Write a Review

NPPES record last updated: March 16, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pomfret Street Family Medicine NPPES

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

POMFRET STREET FAMILY MEDICINE (NPI 1194966556) is a healthcare organization registered as a family medicine in Putnam, Connecticut and active in the NPI registry since March 2009. The organization lists Robert E Smanik, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194966556
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHYSICIAN SERVICES OF NORTHEAST CONNECTICUT, LLC
Location Address235 POMFRET STPutnam, CT 06260-1835
Mailing AddressPo Box 8469Belfast, ME 04915-8469 · (860) 928-6541 · Fax (860) 963-6450
Fax(860) 928-9255
Organization SubpartYesParent: Day Kimball Hospital
Authorized OfficialRobert E SmanikCeo · (860) 928-6541
Enumeration DateMarch 16, 2009
NPI 1194966556 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.
235 POMFRET ST, Putnam, CT 06260

Other Names 1

Doing Business AsPomfret Street Family Medicine

Other Identifiers 2

Medicare PIND100000012CT
Medicaid1891962221CT

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

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.

Family Medicine
235 POMFRET ST
PUTNAM, CT 06260
Nurse Practitioner (Adult Health)
235 POMFRET ST
PUTNAM, CT 06260
Family Medicine
235 POMFRET ST
PUTNAM, CT 06260

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 Physician Services Of Northeast Connecticut, LLC's NPI number?

The NPI number for Physician Services Of Northeast Connecticut, LLC is 1194966556. It was assigned to this organization in the NPPES registry on March 16, 2009. The provider is doing business as Pomfret Street Family Medicine.

Where is Physician Services Of Northeast Connecticut, LLC located?

Physician Services Of Northeast Connecticut, LLC is located at 235 Pomfret St, Putnam, CT 06260. The listed phone number is (860) 928-0493.

What is Physician Services Of Northeast Connecticut, LLC'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 Physician Services Of Northeast Connecticut, LLC was last updated on March 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.