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CARDIOMED OF CONNECTICUT, LLC
NPI 1699964403
Internal Medicine - Cardiovascular Disease in Bridgeport, CT

Active since October 17, 2007
4695 MAIN ST, SUITE 19, BRIDGEPORT, CT 06606(203) 371-5189(203) 372-6365 Get Directions Write a Review

NPPES record last updated: May 8, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cardiomed Of Connecticut, Llc NPPES

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

CARDIOMED OF CONNECTICUT, LLC (NPI 1699964403) is a healthcare organization registered as a cardiovascular disease in Bridgeport, Connecticut and active in the NPI registry since October 2007. The organization lists Mohummad Raza, Owner, as its authorized official.

NPPES Registry Identity

NPI1699964403
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameCARDIOMED OF CONNECTICUT, LLC
Location Address4695 MAIN ST, SUITE 19Bridgeport, CT 06606-1802
Mailing Address4695 Main St, Suite 19Bridgeport, CT 06606-1802 · (203) 371-5189 · Fax (203) 372-6365
Phone(203) 371-5189
Fax(203) 372-6365
Organization SubpartNo
Authorized OfficialMohummad RazaOwner · (203) 371-5189
Enumeration DateOctober 17, 2007
Last NPPES UpdateMay 8, 2014
✔ NPI 1699964403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CT · 036793
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

4695 MAIN ST, Bridgeport, CT 06606
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Other Identifiers 2

Medicare UPINC02366CT
Medicaid001367938CT

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

Other Providers at the Same Location NPPES 9

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

HOWARD W HARINSTEIN
Podiatrist
4695 MAIN ST, SUITE 15
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 334-6878
ANN MARY CARONE O.D.
Optometrist
4695 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 371-5800
DR. STEPHEN DEAN BREDA M.D.
Otolaryngology
4695 MAIN ST, SUITE 1
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 371-5166
DR. ROBERT S. FEUERBERG D.D.S.
Dentist (General Practice)
4695 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 371-5890
SNE ASC II LLC
Clinic/Center (Ambulatory Surgical)
4695 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (914) 552-6929
DR. JEFFREY SMALL
Specialist
4695 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 372-4419
MR. JEFFREY DANIEL SMALL MD
Urology
4695 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 372-4419
RICHARD COMBDEN O.D.
Optometrist
4695 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 371-5800

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 Cardiomed Of Connecticut, LLC's NPI number?

The NPI number for Cardiomed Of Connecticut, LLC is 1699964403. It was assigned to this organization in the NPPES registry on October 17, 2007.

Where is Cardiomed Of Connecticut, LLC located?

Cardiomed Of Connecticut, LLC is located at 4695 Main St Suite 19, Bridgeport, CT 06606. The listed phone number is (203) 371-5189.

What is Cardiomed Of Connecticut, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Cardiomed Of Connecticut, LLC was last updated on May 8, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.