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GRIFFIN FACULTY PHYSICIANS, INC.
NPI 1598755605
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Derby, CT

Active since October 28, 2005CLIA Certified · 6 labs
67 MAPLE AVE, 2ND FLOOR, DERBY, CT 06418(203) 732-1330(203) 732-1332 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 10, 2025, Feb 22, 2018, Feb 14, 2018 (3 updates tracked since 2018).

About Griffin Faculty Physicians, Inc. NPPES

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

GRIFFIN FACULTY PHYSICIANS, INC. (NPI 1598755605), doing business as Griffin Faculty Practice Plan, Inc, is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Derby, Connecticut and active in the NPI registry since October 2005. The organization holds 6 active CLIA laboratory certificates and lists Lori Anne Vinci, Vp, as its authorized official.

NPPES Registry Identity

NPI1598755605
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameGRIFFIN FACULTY PHYSICIANS, INC.
Location Address67 MAPLE AVE, 2ND FLOORDerby, CT 06418-1328
Mailing Address67 Maple Ave, 2nd FloorDerby, CT 06418-1328 · (203) 732-1330 · Fax (203) 732-1332
Phone(203) 732-1330
Fax(203) 732-1332
Organization SubpartNo
Authorized OfficialLori Anne VinciVp · (203) 732-1330
Enumeration DateOctober 28, 2005
Last NPPES UpdateNovember 10, 20253 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
✔ NPI 1598755605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in CT · 034350
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Obesity MedicineTaxonomy 207RB0002X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedSurgeryTaxonomy 208600000X · License 049045 (CT)
Also ListedUrologyTaxonomy 208800000X
Also ListedHospitalistTaxonomy 208M00000X
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 003450 (CT)
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
67 MAPLE AVE, Derby, CT 06418
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Other Names 1

Former Legal Business NameGriffin Faculty Practice Plan, Inc

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Griffin Faculty Physicians, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

189

Medicare enrollment records show 189 clinicians reassign Medicare billing to Griffin Faculty Physicians, Inc., which bills Medicare for the services they deliver. Of these, 6 practice at this address and 129 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 23

Internal Medicine52
Nurse Practitioner51
Family Practice13
Obstetrics/Gynecology12
Pediatric Medicine7
Clinical Social Worker6
Gastroenterology6
Hospitalist6
15 other specialties36

Nearest to this location (20)

See all 189
Judith Heller, APRN, FNP
Nurse Practitioner
NPI 1134191604
135 DIVISION STREET 1ST FLOOR
Ansonia, CT 06401
(203) 735-3500
✔ PECOS✔ Accepts MedicareSame address
Magdalen Mauriello, MD
Internal Medicine
NPI 1770666059
135 DIVISION ST 2ND FLOOR
Ansonia, CT 06401
(203) 308-2705
✔ PECOS✔ Accepts MedicareSame address
David Moll, M.D.
Endocrinology
NPI 1831186584
135 DIVISION ST
Ansonia, CT 06401
(203) 735-3500
✔ PECOSSame address
Liqun Song, M.D.
Endocrinology
NPI 1699839852
135 DIVISION ST
Ansonia, CT 06401
(203) 735-3500
✔ PECOS✔ Accepts MedicareSame address
Roman Spivak, MD
Pulmonary Disease
NPI 1780889493
135 DIVISION ST STE 2
Ansonia, CT 06401
(203) 308-2705
✔ PECOS✔ Accepts MedicareSame address
Chi Tang, MD
Endocrinology
NPI 1013263870
135 DIVISION ST STE 1
Ansonia, CT 06401
(203) 735-3500
✔ PECOS✔ Accepts MedicareSame address
Jenna Liguori, APRN
Nurse Practitioner
NPI 1134595366
130 DIVISION ST.
Derby, CT 06418
(203) 732-7550
✔ PECOS✔ Accepts Medicare0.1 mi
Matthew Cohen, MD
Gastroenterology
NPI 1548241490
130 DIVISION ST
Derby, CT 06418
(203) 732-1330
✔ PECOS0.1 mi
Elizabeth Starnes, APRN
Nurse Practitioner
NPI 1184193583
130 DIVISION ST
Derby, CT 06418
(203) 732-1330
✔ PECOS✔ Accepts Medicare0.1 mi
Vivek Dhungana, MD
Hospitalist
NPI 1467805598
130 DIVISION ST
Derby, CT 06418
(203) 732-1330
✔ PECOS✔ Accepts Medicare0.1 mi
Mukesh Kumar, MD
Internal Medicine
NPI 1104347665
130 DIVISION ST
Derby, CT 06418
(203) 732-1330
✔ PECOS✔ Accepts Medicare0.1 mi
Michael Lee, MD
Cardiovascular Disease (Cardiology)
NPI 1730124793
130 DIVISION ST
Derby, CT 06418
(203) 732-1330
✔ PECOS✔ Accepts Medicare0.1 mi
David Maslak, MD
Internal Medicine
NPI 1477916179
130 DIVISION ST
Derby, CT 06418
(203) 732-1330
✔ PECOS✔ Accepts Medicare0.1 mi
Racha Abi Melhem, MD
Allergy/Immunology
NPI 1902471352
300 SEYMOUR AVE STE 203B
Derby, CT 06418
(203) 516-5303
✔ PECOS✔ Accepts Medicare0.2 mi
Alvin Gil Ventura, MD
Family Practice
NPI 1598499634
300 SEYMOUR AVENUE 130 DIVISION
Orange, CT 06418
(646) 445-9983
✔ PECOS✔ Accepts Medicare0.2 mi
Divya Mamootil, MD
Rheumatology
NPI 1134794050
300 SEYMOUR AVE STE 203B
Derby, CT 06418
(203) 516-5303
✔ PECOS✔ Accepts Medicare0.2 mi
Grace Biggs, M.D.
Urology
NPI 1992901508
300 SEYMOUR AVE STE 202
Derby, CT 06418
(203) 732-2651
✔ PECOS✔ Accepts Medicare0.2 mi
Cynthia Ronan, M.D.
Obstetrics/Gynecology
NPI 1346251659
300 SEYMOUR AVE SUITE 108
Derby, CT 06418
(203) 736-6383
✔ PECOS✔ Accepts Medicare0.2 mi
Denise Barajas, MD
General Surgery
NPI 1689787210
350 SEYMOUR AVE STE 101
Derby, CT 06418
(203) 732-7233
✔ PECOS✔ Accepts Medicare0.2 mi
Daniel Lavy, M.D.
Colorectal Surgery (Proctology)
NPI 1578841797
350 SEYMOUR AVE STE 2
Derby, CT 06418
(203) 732-3443
✔ PECOS✔ Accepts Medicare0.2 mi
See all 189 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 6

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 07D2350569

Griffin Faculty Physicians · Derby, CT
Active · expires Sep 10, 2028
CLIA Number07D2350569
Laboratory TypePhysician Office
Certificate Effective DateSeptember 11, 2026
Certificate Expiration DateSeptember 10, 2028
Laboratory DirectorKathleen M. Chaisson
Laboratory Phone(203) 732-1330
Laboratory LocationGriffin Faculty Physicians130 Division Street, First Floor 1 West, Derby, CT 06418
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 07D2350238

Griffin Faculty Physicians · Derby, CT
Active · expires Sep 3, 2028
CLIA Number07D2350238
Laboratory TypePhysician Office
Certificate Effective DateSeptember 4, 2026
Certificate Expiration DateSeptember 3, 2028
Laboratory DirectorFeng Guo
Laboratory Phone(203) 732-1330
Laboratory LocationGriffin Faculty Physicians300 Seymour Ave Ste 202, Derby, CT 06418
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 07D1037600

Griffin Faculty Physicians Inc · Shelton, CT
Active · expires Feb 28, 2027
CLIA Number07D1037600
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorScott Vander Vennett
Laboratory Phone(203) 732-1330
Laboratory LocationGriffin Faculty Physicians Inc2 Ivy Brook Rd, Ste 125, Shelton, CT 06484
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 07D2336469

Griffin Faculty Physicians, Inc · Derby, CT
Active · expires Jan 4, 2028
CLIA Number07D2336469
Laboratory TypePhysician Office
Certificate Effective DateJanuary 5, 2026
Certificate Expiration DateJanuary 4, 2028
Laboratory DirectorAlvin A. Gil Ventura
Laboratory Phone(203) 732-1524
Laboratory LocationGriffin Faculty Physicians, Inc300 Division Street, 203B, Derby, CT 06418
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 07D2104770

Griffin Faculty Physicians, Inc · Derby, CT
Active · expires Nov 11, 2027
CLIA Number07D2104770
Laboratory TypePhysician Office
Certificate Effective DateNovember 12, 2025
Certificate Expiration DateNovember 11, 2027
Laboratory DirectorKenneth Schwartz
Laboratory Phone(203) 732-1524
Laboratory LocationGriffin Faculty Physicians, Inc130 Division St, Derby, CT 06418
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 07D2134174

Griffin Faculty Physicians Inc · Derby, CT
Active · expires Jul 26, 2027
CLIA Number07D2134174
Laboratory TypePhysician Office
Certificate Effective DateJuly 27, 2025
Certificate Expiration DateJuly 26, 2027
Laboratory DirectorXiaolan Fei
Laboratory Phone(203) 732-1524
Laboratory LocationGriffin Faculty Physicians Inc300 Seymour Ave, Ste 102, Derby, CT 06418
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Griffin Faculty Physicians, Inc.'s NPI number?

The NPI number for Griffin Faculty Physicians, Inc. is 1598755605. It was assigned to this organization in the NPPES registry on October 28, 2005. The provider was formerly known as Griffin Faculty Practice Plan, Inc.

Where is Griffin Faculty Physicians, Inc. located?

Griffin Faculty Physicians, Inc. is located at 67 Maple Ave 2nd Floor, Derby, CT 06418. The listed phone number is (203) 732-1330.

What is Griffin Faculty Physicians, Inc.'s specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Griffin Faculty Physicians, Inc. enrolled in Medicare?

Yes. Griffin Faculty Physicians, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Griffin Faculty Physicians, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 189 clinicians in 23 Medicare specialties reassign their Medicare billing to Griffin Faculty Physicians, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (52), Nurse Practitioner (51) and Family Practice (13). Of these, 6 practice at this address and 129 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Griffin Faculty Physicians, Inc. hold CLIA laboratory certificates?

Yes. 6 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.

What insurance does Griffin Faculty Physicians, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Griffin Faculty Physicians, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Griffin Faculty Physicians, Inc. was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.