SOUTHEASTERN PULMONARY ASSOC. PC
NPI 1295754273
Internal Medicine - Pulmonary Disease in New London, CT

Active since July 19, 2006
155 MONTAUK AVENUE, NEW LONDON, CT 06320(860) 444-2223(860) 440-3153 Get Directions Write a Review

NPPES record last updated: January 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southeastern Pulmonary Assoc. Pc NPPES

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

SOUTHEASTERN PULMONARY ASSOC. PC (NPI 1295754273) is a healthcare organization registered as a pulmonary disease in New London, Connecticut and active in the NPI registry since July 2006. The organization lists John S Urbanetti, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295754273
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameSOUTHEASTERN PULMONARY ASSOC. PC
Location Address155 MONTAUK AVENUENew London, CT 06320
Mailing Address155 Montauk AvenueNew London, CT 06320 · (860) 444-2223 · Fax (860) 440-3153
Fax(860) 440-3153
Organization SubpartNo
Authorized OfficialJohn S UrbanettiCeo · (860) 444-2223
Enumeration DateJuly 19, 2006
Last NPPES UpdateJanuary 20, 2016
NPI 1295754273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in CT · 022011 Licensed in CT · 022057
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
155 MONTAUK AVENUE, New London, CT 06320

Other Identifiers 7

Medicare UPINB83788
Other022057CT · Lic Dr Robert Keltner
Medicare UPINA66143
Medicare ID-Type Unspecified2990000061Dr Robert Keltner
Medicare PINC00196CT
Medicaid1220110CT
Medicaid1220573CT

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 MULTIPLE SINGLE 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)
155 MONTAUK AVENUE
NEW LONDON, CT 06320
Internal Medicine (Pulmonary Disease)
155 MONTAUK AVENUE
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 Southeastern Pulmonary Assoc. PC's NPI number?

The NPI number for Southeastern Pulmonary Assoc. PC is 1295754273. It was assigned to this organization in the NPPES registry on July 19, 2006.

Where is Southeastern Pulmonary Assoc. PC located?

Southeastern Pulmonary Assoc. PC is located at 155 Montauk Avenue, New London, CT 06320. The listed phone number is (860) 444-2223.

What is Southeastern Pulmonary Assoc. PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

When was this NPI record last updated?

The NPPES record for Southeastern Pulmonary Assoc. PC was last updated on January 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.