# NORTHEAST MEDICAL GROUP, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHEAST MEDICAL GROUP, INC
- **Other names:** Fairfield County Sleep Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861514457
- **Legal business name:** NORTHEAST MEDICAL GROUP, INC
- **Authorized official:** KATHLEEN TESTANI (SENIOR MANAGER)
- **Authorized official phone:** (203) 336-7353

## Contact information

- **Practice address:** 501 KINGS HWY E, SUITE 105, FAIRFIELD, CT 06825-4867
- **Practice address phone:** (203) 610-8745
- **Practice address fax:** (203) 610-8746
- **Mailing address:** 3 ENTERPRISE DR, SUITE 404, SHELTON, CT 06484-4694
- **Mailing address phone:** (203) 944-1940
- **Mailing address fax:** (203) 402-4196

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 08/13/2015