NURSE PRACTITIONER
NPI 1285816314
Nurse Practitioner - Gerontology in New London, CT

Active since November 30, 2007
492 MONTAUK AVE, NEW LONDON, CT 06320(860) 443-0305(860) 444-0823 Get Directions Write a Review

NPPES record last updated: November 30, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nurse Practitioner NPPES

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

NURSE PRACTITIONER (NPI 1285816314) is a healthcare organization registered as a gerontology in New London, Connecticut and active in the NPI registry since November 2007. The organization lists Beth Wilcox, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1285816314
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameGOLD COAST PULMONARY AND SLEEP ASSOC
Location Address492 MONTAUK AVENew London, CT 06320-4615
Mailing Address492 Montauk AveNew London, CT 06320-4615 · (860) 443-0305 · Fax (860) 444-0823
Fax(860) 444-0823
Organization SubpartNo
Authorized OfficialBeth WilcoxPractice Administrator · (860) 443-0305
Enumeration DateNovember 30, 2007
NPI 1285816314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in CT · 001296
492 MONTAUK AVE, New London, CT 06320

Other Names 1

Doing Business AsNurse Practitioner

Other Identifiers 1

Medicare PINC02829CT

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 2

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

Internal Medicine (Pulmonary Disease)
492 MONTAUK AVE
NEW LONDON, CT 06320
Internal Medicine (Pulmonary Disease)
492 MONTAUK AVE
NEW LONDON, CT 06320

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 Gold Coast Pulmonary And Sleep Assoc's NPI number?

The NPI number for Gold Coast Pulmonary And Sleep Assoc is 1285816314. It was assigned to this organization in the NPPES registry on November 30, 2007. The provider is doing business as Nurse Practitioner.

Where is Gold Coast Pulmonary And Sleep Assoc located?

Gold Coast Pulmonary And Sleep Assoc is located at 492 Montauk Ave, New London, CT 06320. The listed phone number is (860) 443-0305.

What is Gold Coast Pulmonary And Sleep Assoc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Gold Coast Pulmonary And Sleep Assoc was last updated on November 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.