ADVANCED CARDIOVASCULAR SPECIALISTS PC
NPI 1902957970
Internal Medicine - Cardiovascular Disease in Bridgeport, CT

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

Active since January 16, 2007CLIA Certified · 2 labs

439 MILL HILL AVE, BRIDGEPORT, CT 06610(203) 334-2100(203) 333-5864 Get Directions Write a Review

NPPES record last updated: March 13, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Advanced Cardiovascular Specialists Pc NPPES

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

ADVANCED CARDIOVASCULAR SPECIALISTS PC (NPI 1902957970) is a healthcare organization registered as a cardiovascular disease in Bridgeport, Connecticut and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates and lists Jerome Martin, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1902957970

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameADVANCED CARDIOVASCULAR SPECIALISTS PC

Location Address439 MILL HILL AVEBridgeport, CT 06610-2866

Mailing Address439 Mill Hill AveBridgeport, CT 06610-2866 · (203) 334-2100 · Fax (203) 333-5864

Phone(203) 334-2100

Fax(203) 333-5864

Organization SubpartNo

Authorized OfficialJerome MartinPractice Manager · (203) 334-2100

Enumeration DateJanuary 16, 2007

Last NPPES UpdateMarch 13, 2017

✔ NPI 1902957970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

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.

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

439 MILL HILL AVE, Bridgeport, CT 06610

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Other Identifiers 1

Medicare ID-Type UnspecifiedC006939CT · Group Medicare

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

CLIA Laboratory Certificates CMS CLIA 2

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 07D2144570

Advanced Cardiovascular Specialists PC · Bridgeport, CT

Active · expires Feb 19, 2028

CLIA Number07D2144570

Laboratory TypePhysician Office

Certificate Effective DateFebruary 20, 2026

Certificate Expiration DateFebruary 19, 2028

Laboratory DirectorAmir Doron

Laboratory Phone(203) 334-2100

Laboratory LocationAdvanced Cardiovascular Specialists PC439 Mill Hill Ave, Bridgeport, CT 06610

CLIA data matches this NPI record on: Address Name Phone

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

Certificate of Waiver 07D2216077

Advanced Cardiovascular Specialists, PC · Fairfield, CT

Active · expires Mar 8, 2027

CLIA Number07D2216077

Laboratory TypePhysician Office

Certificate Effective DateMarch 9, 2025

Certificate Expiration DateMarch 8, 2027

Laboratory DirectorDoron Amir

Laboratory Phone(203) 334-2100

Laboratory LocationAdvanced Cardiovascular Specialists, PC52 Beach Rd, Suite 105, Fairfield, CT 06824

CLIA data matches this NPI record on: Name Phone

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

Other Providers at the Same Location NPPES 16

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

ZOSIMO ADEFUIN MD

Specialist