1. Home
  2. Directory
  3. Connecticut
  4. Willimantic
  5. Radiology
  6. NPI Profile

GREGORY ROBERT GUSTAVSON APRN
NPI 1770418030
Radiology - Vascular & Interventional Radiology in Willimantic, CT

Active since June 16, 2026
112 MANSFIELD AVE, WILLIMANTIC, CT 06226(860) 456-9116 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gregory Robert Gustavson Aprn NPPES

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

GREGORY ROBERT GUSTAVSON APRN (NPI 1770418030) is an individual vascular & interventional radiology provider in Willimantic, Connecticut, licensed in Connecticut (12.017664) and active in the NPI registry since June 2026. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1770418030
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameGREGORY ROBERT GUSTAVSONCredential: APRN
Location Address112 MANSFIELD AVEWillimantic, CT 06226-2040
Mailing Address5 Beaudet TerColumbia, CT 06237-1404 · (860) 617-0730
Phone(860) 456-9116
Sole ProprietorNo
Enumeration DateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1770418030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License✔ Licensed in CT · 12.017664
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
112 MANSFIELD AVE, Willimantic, CT 06226
Open in Google Maps ↗

Other Names 1

Other Name (5)Greg Robert Gustavson Aprn

Secondary Practice Locations 3

Location 1100 Grand StNew Britain, CT 06052-2016 · Phone (860) 276-5000
Location 2435 Lewis AveMeriden, CT 06451-2101 · Phone (203) 694-8928
Location 3326 Washington StNorwich, CT 06360-2740 · Phone (860) 889-8331

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.

BETHANY JOY KENNEDY APRN
Nurse Practitioner (Acute Care)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-9116
MARLENE SCHWARTZ M.D.
Internal Medicine (Pulmonary Disease)
112 MANSFIELD AVE, PULMONARY DISEASE DIVISION, HATCH WING
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-7279
WINDHAM COMMUNITY MEMORIAL HOSPITAL, INC.
General Acute Care Hospital
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-6752
LORI BERNIER LCSW
Social Worker (Clinical)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-6793
JESSICA LISE VERCRUYSSE MD
Emergency Medicine
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (904) 265-6850
SAMER T MORCOS MD
Internal Medicine (Pulmonary Disease)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-6713
ERIN CURRY BANE DNP CNM
Midwife
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-6796
JESSICA L ST. LOUIS LCSW
Social Worker (Clinical)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-6985

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 Gregory Gustavson's NPI number?

The NPI number for Gregory Gustavson is 1770418030. It was assigned to this individual provider in the NPPES registry on June 16, 2026. The provider is also known as Greg Robert Gustavson Aprn.

Where is Gregory Gustavson located?

Gregory Gustavson practices at 112 Mansfield Ave, Willimantic, CT 06226. The listed phone number is (860) 456-9116.

What is Gregory Gustavson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

When was this NPI record last updated?

The NPPES record for Gregory Gustavson was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.