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

Northeast Medical Group, PLLC

Organization Family Medicine Physician · NPI 1942526207

Northeast Medical Group, PLLC provides Family Medicine Physician services 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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