CENTER FOR VEIN RESTORATION CT LLC – NPI #1124904651
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

CENTER FOR VEIN RESTORATION CT LLC is a surgeon located in STAMFORD, CT. NPPES has assigned the NPI number 1124904651 to CENTER FOR VEIN RESTORATION CT LLC on August 12, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTER FOR VEIN RESTORATION CT LLC below.

NPI Profile for
CENTER FOR VEIN RESTORATION CT LLC

NPI Number
1124904651
Enumeration Date

(about 10 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTER FOR VEIN RESTORATION CT LLC
Primary location
1290 SUMMER ST STE 2100
STAMFORD, CT 06905-5340
Phone: (855) 830-8346 Fax:
Mailing address
7474 GREENWAY CENTER DR STE 1000
GREENBELT, MD 20770-3500
Phone: (855) 830-8346 Fax:
Organization Subpart
No
Authorized Official
LORENA THOMAS
CRED MANAGER
Phone: (815) 254-1761
Updated
Certification Date
Aug 12, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.