Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northeast Medical Group, PLLC

Organization Family Medicine Physician · NPI 1942526207

Northeast Medical Group, PLLC is a Family Medicine Physician in Greenwich, Connecticut. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
Specialties on file
6
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5 Perryridge Rd
Greenwich, CT 06830-4608
Phone: (203) 384-3975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X (NY)
Adolescent Medicine (Internal Medicine) Physician Taxonomy 207RA0000X
Gastroenterology Physician Taxonomy 207RG0100X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1942526207
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNortheast Medical Group, Inc
Authorized official Beata Bialczak — Manager · (203) 384-3975
NPI enumeratedApril 12, 2010
Last updated in NPPESJanuary 10, 2018
Mailing addressPo Box 415126, Boston, MA 02241-5126

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