EDWARD MCDERMOTT MD
NPI 1518090976
Nurse Practitioner in New London, CT

Q: What is Edward Mcdermott MD's NPI number?

The NPI number for Edward Mcdermott MD is 1518090976. It was assigned to this organization in the NPPES registry on March 14, 2007.

Q: What is Edward Mcdermott MD's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since March 14, 2007

276 MONTAUK AVE # R, NEW LONDON, CT 06320(860) 442-0930(860) 447-8598 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Edward Mcdermott Md NPPES

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

EDWARD MCDERMOTT MD (NPI 1518090976) is a healthcare organization registered as a nurse practitioner in New London, Connecticut and active in the NPI registry since March 2007. The organization lists Edward Mcdermott, Owner, as its authorized official.

NPPES Registry Identity

NPI1518090976

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameEDWARD MCDERMOTT MD

Location Address276 MONTAUK AVE # RNew London, CT 06320-4727

Mailing Address276 Montauk Ave # RNew London, CT 06320-4727 · (860) 442-0930 · Fax (860) 447-8598

Phone(860) 442-0930

Fax(860) 447-8598

Organization SubpartNo

Authorized OfficialEdward McdermottOwner · (860) 442-0930

Enumeration DateMarch 14, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1518090976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CT · B84483

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

276 MONTAUK AVE # R, New London, CT 06320

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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

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 Edward Mcdermott MD's NPI number?

The NPI number for Edward Mcdermott MD is 1518090976. It was assigned to this organization in the NPPES registry on March 14, 2007.

Where is Edward Mcdermott MD located?

Edward Mcdermott MD is located at 276 Montauk Ave # R, New London, CT 06320. The listed phone number is (860) 442-0930.

What is Edward Mcdermott MD's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Edward Mcdermott MD was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.