Progressive Care Medical Group Of CT, PLLC
Nurse Practitioner in Southport, Connecticut
1679107940- Practice location
- 917 Mill Hill Ter, Southport, CT 06890-3200
- Phone
- 800-860-3274
- Fax
- 888-910-1059
- Last updated
- September 25, 2026
Progressive Care Medical Group Of CT, PLLC is a healthcare organization based in Southport, CT. Progressive Care Medical Group Of CT, PLLC practices in Southport, CT. The NPI Number for Progressive Care Medical Group Of CT, PLLC is 1679107940. The current practice location address for Progressive Care Medical Group Of CT, PLLC is 917 Mill Hill Ter, Southport, CT 06890-3200 and can be reached out via phone at 800-860-3274 and via fax at 888-910-1059.
Provider Profile Details
- NPI Number
- 1679107940
- Provider Name
- Progressive Care Medical Group Of CT, PLLC
- Provider Entity Type
- Organization
- Address
- 917 Mill Hill Ter, Southport, CT 06890-3200
- Phone Number
- 800-860-3274
- Fax Number
- 888-910-1059
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Deepak Patel, MD · Authorized Official · 516-855-5255
- Provider Enumeration Date
- February 26, 2020
- Last Update Date
- September 25, 2026
- Certification Date
- September 25, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 917 Mill Hill Ter
Southport, CT 06890-3200 - City
- Southport
- State
- Connecticut
- Zip
- 06890-3200
- Phone Number
- 800-860-3274
- Fax Number
- 888-910-1059
Provider Business Mailing Address Details
- Address
- Po Box 1040
Syosset, NY 11791-0010 - City
- Syosset
- State
- NY
- Zip
- 11791-0010
- Phone Number
- 800-860-3274
- Fax Number
- 888-910-1059
License Information
- Taxonomy (1)
- Internal Medicine · 207R00000X
- Taxonomy (2)
- Clinic/Center, Primary Care · 261QP2300X
- Taxonomy (3)
- Nurse Practitioner · 363L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Progressive Care Medical Group Of CT, PLLC?
The NPI number of Progressive Care Medical Group Of CT, PLLC is 1679107940. It was assigned on February 26, 2020 and is currently active in the NPPES registry.
What is the specialty of Progressive Care Medical Group Of CT, PLLC?
Progressive Care Medical Group Of CT, PLLC is registered under the primary taxonomy Nurse Practitioner (code 363L00000X).
Where does Progressive Care Medical Group Of CT, PLLC practice?
The practice location is 917 Mill Hill Ter, Southport, CT 06890-3200. The office can be reached at 800-860-3274 (phone) or 888-910-1059 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679107940 directly on the NPPES registry website.