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UC OF MOHEGAN LAKE, LLC
NPI 1780048280
Clinic/Center - Urgent Care in Glastonbury, CT

Active since April 11, 2016
2928 MAIN ST, GLASTONBURY, CT 06033(860) 657-8289(203) 905-6824 Get Directions Write a Review

NPPES record last updated: April 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Uc Of Mohegan Lake, Llc NPPES

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

UC OF MOHEGAN LAKE, LLC (NPI 1780048280) is a healthcare organization registered as an urgent care in Glastonbury, Connecticut and active in the NPI registry since April 2016. The organization lists Jeannie M Kenkare, Cmo, as its authorized official.

NPPES Registry Identity

NPI1780048280
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameUC OF MOHEGAN LAKE, LLC
Location Address2928 MAIN STGlastonbury, CT 06033-1007
Mailing Address3085 E Main St Ste 12aMohegan Lake, NY 10547-1542 · (914) 358-9612
Phone(860) 657-8289
Fax(203) 905-6824
Organization SubpartNo
Authorized OfficialJeannie M KenkareCmo · (203) 885-0808
Enumeration DateApril 11, 2016
✔ NPI 1780048280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
2928 MAIN ST, Glastonbury, CT 06033
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Other Identifiers 1

Medicare PINA100138498NY

Other Providers at the Same Location NPPES 6

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

OTHOPEDIC ASSOCIATES PHYSICAL THERAPY
Physical Therapist
2928 MAIN ST
GLASTONBURY, CT 06033
Capitol Planning Region (860) 549-8975
MR. JARED F MATKOWSKI LATC
Specialist/Technologist (Athletic Trainer)
2928 MAIN ST, EASTERN REHABILITATION NETWORK
GLASTONBURY, CT 06033
Capitol Planning Region (860) 657-4723
DR. RICCARDO I AMBROGIO DMD
Dentist (Oral and Maxillofacial Surgery)
2928 MAIN ST
GLASTONBURY, CT 06033
Capitol Planning Region (860) 257-6994
MR. TIMOTHY LINDSAY DURANT MSPT
Physical Therapist
2928 MAIN ST
GLASTONBURY, CT 06033
Capitol Planning Region (860) 430-2344
URGENT CARE OF GLASTONBURY, LLC
Clinic/Center (Urgent Care)
2928 MAIN ST
GLASTONBURY, CT 06033
Capitol Planning Region (203) 846-0005
JAMES J PETRELLI M.D.
Internal Medicine
2928 MAIN ST
GLASTONBURY, CT 06033
Capitol Planning Region (860) 657-8289

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 Uc Of Mohegan Lake, LLC's NPI number?

The NPI number for Uc Of Mohegan Lake, LLC is 1780048280. It was assigned to this organization in the NPPES registry on April 11, 2016.

Where is Uc Of Mohegan Lake, LLC located?

Uc Of Mohegan Lake, LLC is located at 2928 Main St, Glastonbury, CT 06033. The listed phone number is (860) 657-8289.

What is Uc Of Mohegan Lake, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

When was this NPI record last updated?

The NPPES record for Uc Of Mohegan Lake, LLC was last updated on April 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.