ASSOCIATED SPECIALISTS OF SOUTHEASTERN CONNECTICUT, INC. — NPI 1588844591 (Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) in NEW LONDON, CT)

CMS-1500 Box 24J / 33a • NPI

1588844591

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207R00000X (CMS 11)

Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)

Box 32 Service Location & ZIP+4

365 MONTAUK AVE, NEW LONDON, CT, 06320-4700

✓ 9-Digit EDI 837 ZIP+4 (06320-4700)

Practice Phone & Referral Fax

(860) 442-0711

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1588844591 (ASSOCIATED SPECIALISTS OF SOUTHEASTERN CONNECTICUT, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1588844591` (NPI-2 Organization / Facility)
Provider / Legal Name	ASSOCIATED SPECIALISTS OF SOUTHEASTERN CONNECTICUT, INC.
Plain-English Specialty	Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: `207R00000X` (Internal Medicine)
Certifying / Licensing Body	American Board of Internal Medicine (ABIM)
Practice Location Address	365 MONTAUK AVE, NEW LONDON, CT, 06320-4700
Practice Telephone / Fax	Tel: (860) 442-0711
Administrative Mailing Address	2 LORENZ INDUSTRIAL PARKWAY, LEDYARD, CT, 06339-1946
Enumeration & Last Sync	Enumerated: 2007-11-07 \| CMS Record Updated: 2013-05-08
Authorized Official	PAMELA KANE (Vice President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

365 MONTAUK AVE, NEW LONDON, CT, 06320-4700

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Plain-English Taxonomy & CMS Crosswalk (207R00000X)

What Does Taxonomy Code 207R00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207R00000X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal Medicine)
Certifying / Accrediting Authority: American Board of Internal Medicine (ABIM)
Clinical Scope: Managing multiple adult chronic conditions (diabetes, high blood pressure, high cholesterol, thyroid disorders) or investigating unexplained adult symptoms.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ASSOCIATED SPECIALISTS OF SOUTHEASTERN CONNECTICUT, INC.)

Typical CPT / Diagnostic Procedures:

Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
Preoperative Medical Risk Assessment & Cardiac Clearance
Chronic Kidney, Hepatic & Metabolic Panel Interpretation
Adult Inpatient Hospitalist Management & Discharge Coordination

Common Therapeutic Classes:

Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2080N0001X` — Pediatrics, Neonatal-Perinatal Medicine Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: N/A \| License: `Verified` \| Primary: Secondary
`207RE0101X` — Internal Medicine, Endocrinology, Diabetes & Metabolism Plain English: Board-Certified Endocrinologist (Diabetes, Thyroid & Hormone Specialist)	State: N/A \| License: `Verified` \| Primary: Secondary
`207RI0200X` — Internal Medicine, Infectious Disease Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: N/A \| License: `Verified` \| Primary: Secondary
`363LN0000X` — Nurse Practitioner, Neonatal Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Neonatal	State: N/A \| License: `Verified` \| Primary: Secondary
`363LP0808X` — Nurse Practitioner, Psych/Mental Health Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health	State: N/A \| License: `Verified` \| Primary: Secondary
`207QS1201X` — Family Medicine, Sleep Medicine Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)	State: N/A \| License: `Verified` \| Primary: Secondary
`363LA2200X` — Nurse Practitioner, Adult Health Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health	State: N/A \| License: `Verified` \| Primary: Secondary
`2084N0400X` — Psychiatry & Neurology, Neurology Plain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)	State: N/A \| License: `Verified` \| Primary: Secondary
`363LA2100X` — Nurse Practitioner, Acute Care Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care	State: N/A \| License: `Verified` \| Primary: Secondary
`103G00000X` — Clinical Neuropsychologist Plain English: Licensed & Credentialed Clinical Neuropsychologist	State: CT \| License: `Verified` \| Primary: Secondary
`208100000X` — Physical Medicine & Rehabilitation Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation	State: N/A \| License: `Verified` \| Primary: Secondary
`2084P0800X` — Psychiatry & Neurology, Psychiatry Plain English: Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician)	State: N/A \| License: `Verified` \| Primary: Secondary
`207Q00000X` — Family Medicine Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)	State: N/A \| License: `Verified` \| Primary: Secondary
`1041C0700X` — Social Worker, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical	State: CT \| License: `Verified` \| Primary: Secondary
`207R00000X` — Internal Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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ASSOCIATED SPECIALISTS OF SOUTHEASTERN CONNECTICUT, INC. (NPI #1588844591)