COASTAL DIGESTIVE CARE CENTER LLC
NPI 1811929300
Clinic/Center - Ambulatory Surgical in New London, CT

Q: What is Coastal Digestive Care Center LLC's NPI number?

The NPI number for Coastal Digestive Care Center LLC is 1811929300. It was assigned to this organization in the NPPES registry on July 7, 2006.

Q: What is Coastal Digestive Care Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since July 07, 2006CLIA 07D1010000 · Waiver

234A BANK ST, 4TH FLOOR, NEW LONDON, CT 06320(860) 447-0402(860) 447-8117 Get Directions Write a Review

NPPES record last updated: May 7, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Coastal Digestive Care Center Llc NPPES

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

COASTAL DIGESTIVE CARE CENTER LLC (NPI 1811929300) is a healthcare organization registered as an ambulatory surgical in New London, Connecticut and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 3, 2027 and lists John Frese, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1811929300

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameCOASTAL DIGESTIVE CARE CENTER LLC

Location Address234A BANK ST, 4TH FLOORNew London, CT 06320

Mailing Address234a Bank St, 4th FloorNew London, CT 06320 · (860) 447-0402 · Fax (860) 447-8117

Phone(860) 447-0402

Fax(860) 447-8117

Organization SubpartNo

Authorized OfficialJohn FreseMedical Director · (860) 442-0290

Enumeration DateJuly 7, 2006

Last NPPES UpdateMay 7, 2009

✔ NPI 1811929300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in CT · 0303

234A BANK ST, New London, CT 06320

Open in Google Maps ↗

Other Identifiers 15

Medicare UPINF03598CT

Medicaid001317975CT

Medicare UPINB37983CT

Medicaid001385617CT

Medicaid001284083CT

Medicare UPINH85824CT

Medicaid001168194CT

Medicare ID-Type Unspecified100000043CT · John Madsen

Medicare UPINP47240CT

Medicare ID-Type Unspecified110005747CT · John Frese

Medicare ID-Type Unspecified100000199CT · George Ouellette

Medicare ID-Type Unspecified100000357CT · Eugene Sapozhnikov

Medicaid004223137CT

Medicare UPINB38184CT

Medicare ID-Type Unspecified500000760CT · Teresa D'errico

CLIA Laboratory Certificates CMS CLIA

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 07D1010000

Coastal Digestive Care Center LLC · Waterford, CT

Active · expires Mar 3, 2027

CLIA Number07D1010000

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMarch 4, 2025

Certificate Expiration DateMarch 3, 2027

Laboratory DirectorJohn Frese Jr MD

Laboratory Phone(860) 442-0290

Laboratory LocationCoastal Digestive Care Center LLC5 Dayton Rd, Ste 104, Waterford, CT 06385

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

364 services360 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

239 services229 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

166 services166 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

59 services59 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

49 services49 patients

Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384

This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.

35 services35 patients

Leave this field empty

Other Providers at the Same Location NPPES 5

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

EMILY ANTONIA JOHNSON

Nurse Practitioner (Family)

234A BANK ST
NEW LONDON, CT 06320