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DIGESTIVE DISEASE ASSOCIATES, LLC
NPI 1356480578
Internal Medicine - Gastroenterology in Branford, CT

Active since February 05, 2007CLIA Certified · 2 labs
1224 MAIN ST, BRANFORD, CT 06405(203) 481-0315(203) 481-6788 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2022, Jan 20, 2022, Nov 2, 2017 (3 updates tracked since 2017).

About Digestive Disease Associates, Llc NPPES

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

DIGESTIVE DISEASE ASSOCIATES, LLC (NPI 1356480578) is a healthcare organization registered as a gastroenterology in Branford, Connecticut and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists Christopher Dunbar Illick, Partner, as its authorized official.

NPPES Registry Identity

NPI1356480578
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameDIGESTIVE DISEASE ASSOCIATES, LLC
Location Address1224 MAIN STBranford, CT 06405-3778
Mailing Address687 Main StBranford, CT 06405-3612 · (203) 481-7050 · Fax (203) 488-6945
Phone(203) 481-0315
Fax(203) 481-6788
Organization SubpartNo
Authorized OfficialChristopher Dunbar IllickPartner · (203) 481-0315
Enumeration DateFebruary 5, 2007
Last NPPES UpdateJanuary 12, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2024
✔ NPI 1356480578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1224 MAIN ST, Branford, CT 06405
Open in Google Maps ↗

Other Identifiers 1

Medicaid004070314CT

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 2

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 07D2091782

Digestive Disease Associates Endoscopy Suite · Branford, CT
Active · expires Feb 18, 2027
CLIA Number07D2091782
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateFebruary 18, 2027
Laboratory DirectorMichael Dorfman
Laboratory Phone(203) 481-0315
Laboratory LocationDigestive Disease Associates Endoscopy Suite687 Main St Rear Building, Branford, CT 06405
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 07D0095981

Digestive Disease Associates, LLC · Westbrook, CT
Active · expires Aug 13, 2027
CLIA Number07D0095981
Laboratory TypePhysician Office
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorMonica Srodon
Laboratory Phone(203) 481-0315
Laboratory LocationDigestive Disease Associates, LLC5 Pequot Park Road, Suite 204, Westbrook, CT 06498
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 8

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

MRS. VICKI L FISHER PT
Physical Therapist
1224 MAIN ST
BRANFORD, CT 06405
South Central Connecticut Planning Region (203) 483-3825
DR. MICHAEL PHILLIP DORFMAN M.D.
Internal Medicine (Gastroenterology)
1224 MAIN ST
BRANFORD, CT 06405
South Central Connecticut Planning Region (203) 481-0315
KRISTIN LOENING MACARTHUR M.D.
Internal Medicine (Gastroenterology)
1224 MAIN ST
BRANFORD, CT 06405
South Central Connecticut Planning Region (203) 481-0315
MELISSA S. BOOTH P.T.
Physical Therapist
1224 MAIN ST
BRANFORD, CT 06405
South Central Connecticut Planning Region (203) 483-3825
VINCENT GAETANO SOTERO D.M.D.
Dentist (General Practice)
1224 MAIN ST, SUITE #1
BRANFORD, CT 06405
South Central Connecticut Planning Region (203) 483-9069
MS. KERI ALISSA HERZOG M.D.
Internal Medicine (Gastroenterology)
1224 MAIN ST
BRANFORD, CT 06405
South Central Connecticut Planning Region (203) 481-0315
CHRISTOPHER DUNBAR ILLICK MD
Internal Medicine (Gastroenterology)
1224 MAIN ST
BRANFORD, CT 06405
South Central Connecticut Planning Region (203) 481-0315
CENTER FOR ORTHOPAEDICS, PC
Orthopaedic Surgery
1224 MAIN ST
BRANFORD, CT 06405
South Central Connecticut Planning Region (203) 752-3100

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 Digestive Disease Associates, LLC's NPI number?

The NPI number for Digestive Disease Associates, LLC is 1356480578. It was assigned to this organization in the NPPES registry on February 5, 2007.

Where is Digestive Disease Associates, LLC located?

Digestive Disease Associates, LLC is located at 1224 Main St, Branford, CT 06405. The listed phone number is (203) 481-0315.

What is Digestive Disease Associates, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Digestive Disease Associates, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Digestive Disease Associates, LLC was last updated on January 12, 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.