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ELLIS MEDICAL CENTER, LLC
NPI 1346484672
Clinic/Center - Primary Care in Bloomfield, CT

Active since April 30, 2009
701 COTTAGE GROVE RD, SUITE A110, BLOOMFIELD, CT 06002(860) 243-1864 Get Directions Write a Review

NPPES record last updated: April 30, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ellis Medical Center, Llc NPPES

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

ELLIS MEDICAL CENTER, LLC (NPI 1346484672) is a healthcare organization registered as a primary care in Bloomfield, Connecticut and active in the NPI registry since April 2009. The organization lists Lenworth Ellis, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1346484672
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameELLIS MEDICAL CENTER, LLC
Location Address701 COTTAGE GROVE RD, SUITE A110Bloomfield, CT 06002-3080
Mailing Address701 Cottage Grove Rd, Suite A110Bloomfield, CT 06002-3080 · (860) 243-1864
Phone(860) 243-1864
Organization SubpartNo
Authorized OfficialLenworth EllisManaging Member · (860) 243-1864
Enumeration DateApril 30, 2009
✔ NPI 1346484672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CT · 041803
701 COTTAGE GROVE RD, Bloomfield, CT 06002
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Other Identifiers 1

Medicare UPINI01435CT

Other Providers at the Same Location NPPES 20

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

MORPHE'MD
Radiology (Vascular & Interventional Radiology)
701 COTTAGE GROVE RD, BUILDING D210
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 726-1400
JANE HOUSE RPT
Physical Therapist
701 COTTAGE GROVE RD, SUITE E130
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 286-0838
REFLECTIONS PSYCHOTHERAPY SERVICES LLC
Community/Behavioral Health
701 COTTAGE GROVE RD, SUITE F 120
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 878-9145
SAGE REHAB, INC
Psychiatry & Neurology (Neurology)
701 COTTAGE GROVE RD, SUITE E130
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 286-0838
OKSANA KLOYZNER MD
Internal Medicine
701 COTTAGE GROVE RD, SUITE F
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 242-4000
PAUL GANDEL MD
Internal Medicine
701 COTTAGE GROVE RD, SUITE E210
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 243-9534
ELIZABETH YVONNE EVANS M.D.
Internal Medicine
701 COTTAGE GROVE RD, C130
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 243-3352
DR. MICHAEL N MOUSTAKAKIS MD
Internal Medicine (Nephrology)
701 COTTAGE GROVE RD, SUITE B220
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 769-9866

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 Ellis Medical Center, LLC's NPI number?

The NPI number for Ellis Medical Center, LLC is 1346484672. It was assigned to this organization in the NPPES registry on April 30, 2009.

Where is Ellis Medical Center, LLC located?

Ellis Medical Center, LLC is located at 701 Cottage Grove Rd Suite A110, Bloomfield, CT 06002. The listed phone number is (860) 243-1864.

What is Ellis Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Ellis Medical Center, LLC was last updated on April 30, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.