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

Northeastern Nephrology Associates, PC

Organization Specialist · NPI 1235279787

Northeastern Nephrology Associates, PC is a Specialist in Vernon, Connecticut. Licensed in Connecticut. Registered with an NPI since 2007.

Licensed in
CT
In the registry since
2007
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

281 Hartford Tpke Ste 210
Vernon, CT 06066-4784
Phone: (860) 872-8563
Fax: (860) 870-4857
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 029990 (CT)
Nephrology Physician Taxonomy 207RN0300X · Licence 029990 (CT)

Record details

NPI number1235279787
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angelito Bacay — President · (860) 872-8563
NPI enumeratedFebruary 7, 2007
Last updated in NPPESJanuary 23, 2012
Mailing address281 Hartford Tpke, Suite 210, Vernon, CT 06066-4784

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