QUINNIPIAC MEDICAL OF BRANFORD, LLC
NPI 1982668240
Internal Medicine in Branford, CT

Active since April 13, 2006CLIA 07D0694171 · Waiver
960 MAIN ST, BRANFORD, CT 06405(203) 488-6358(203) 481-5327 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Quinnipiac Medical Of Branford, Llc NPPES

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

QUINNIPIAC MEDICAL OF BRANFORD, LLC (NPI 1982668240) is a healthcare organization registered as an internal medicine in Branford, Connecticut and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through August 3, 2027 and lists Mary Kay Taylor, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1982668240
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameQUINNIPIAC MEDICAL OF BRANFORD, LLC
Location Address960 MAIN STBranford, CT 06405-3730
Mailing Address960 Main StBranford, CT 06405-3730 · (203) 488-6358 · Fax (203) 481-5327
Fax(203) 481-5327
Organization SubpartNo
Authorized OfficialMary Kay TaylorOffice Manager · (203) 488-6358
Enumeration DateApril 13, 2006
Last NPPES UpdateFebruary 3, 2022
NPPES CertifiedFebruary 3, 2022
✔ NPI 1982668240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
960 MAIN ST, Branford, CT 06405

Other Identifiers 4

OtherCH3185CT · Railroad Medicare
Other50QUINLLCT01CT · Anthem Bcbs
Medicaid004208931CT
OtherC02646CT · 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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Quinnipiac Medical Of Branford, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Quinnipiac Medical Of Branford, LLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1538935663
960 MAIN ST
Branford, CT 06405
(203) 488-6358
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1760877989
960 MAIN ST
Branford, CT 06405
(203) 488-6358
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1215991575
960 MAIN ST
Branford, CT 06405
(203) 488-6358
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1902860232
960 MAIN ST
Branford, CT 06405
(203) 488-6358
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1942264288
960 MAIN ST
Branford, CT 06405
(203) 488-6358
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1134164650
960 MAIN ST
Branford, CT 06405
(203) 488-6358
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1245920701
960 MAIN ST
Branford, CT 06405
(203) 488-6358
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053392837
705 BOSTON POST RD UNIT 6C
Guilford, CT 06437
(475) 308-8619
✔ PECOS7.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 07D0694171

Quinnipiac Medical Of Branford, LLC · Branford, CT
Active · expires Aug 3, 2027
CLIA Number07D0694171
Laboratory TypePhysician Office
Certificate Effective DateAugust 4, 2025
Certificate Expiration DateAugust 3, 2027
Laboratory DirectorRichard E. Kaufman MD
Laboratory Phone(203) 488-6358
Laboratory LocationQuinnipiac Medical Of Branford, LLC960 Main St, Branford, CT 06405
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Quinnipiac Medical Of Branford, LLC's NPI number?

The NPI number for Quinnipiac Medical Of Branford, LLC is 1982668240. It was assigned to this organization in the NPPES registry on April 13, 2006.

Where is Quinnipiac Medical Of Branford, LLC located?

Quinnipiac Medical Of Branford, LLC is located at 960 Main St, Branford, CT 06405. The listed phone number is (203) 488-6358.

What is Quinnipiac Medical Of Branford, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Quinnipiac Medical Of Branford, LLC enrolled in Medicare?

Yes. Quinnipiac Medical Of Branford, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Quinnipiac Medical Of Branford, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Quinnipiac Medical Of Branford, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (5) and Nurse Practitioner (3). Of these, 7 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Quinnipiac Medical Of Branford, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D0694171) is associated with this NPI, valid through August 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Quinnipiac Medical Of Branford, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Quinnipiac Medical Of Branford, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Quinnipiac Medical Of Branford, LLC was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.