NPIMap

Organization Active NPI

Stamford Family Practice PC

  • Preferred Provider Organization
  • Stamford, CT
National Provider Identifier
1003837360
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
027492 Issued in CT
Legal business name
STAMFORD FAMILY PRACTICE PC
Practice address
32 Strawberry Hill Court
Suite 41096
Stamford, CT 06902-2594
Phone
(203) 977-2566
Fax
(203) 977-2568
NPI assigned
Jul 22, 2006
Last updated
Dec 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Rodrigo Acosta, MDNPI 1023102092
Title
MD
Phone
(203) 977-2566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 027492 CT Primary

Addresses

Primary practice location

32 Strawberry Hill Court
Suite 41096
Stamford, CT 06902-2594

Mailing address

32 Strawberry Hill Court
Suite 41096
Stamford, CT 06902-2594
Phone (203) 977-2566

National Provider Directory

National Provider Directory

Locations

32 Strawberry Hill Ct
Ste 41096
Stamford, CT 06902
Phone (203) 977-2566

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1003837360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 STRAWBERRY HILL COURT",
            "address_2": "SUITE 41096",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022594",
            "telephone_number": "203-977-2566",
            "fax_number": "203-977-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 STRAWBERRY HILL COURT",
            "address_2": "SUITE 41096",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022594",
            "telephone_number": "203-977-2566",
            "fax_number": "203-977-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAMFORD FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "RODRIGO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "203-977-2566",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CT",
            "license": "027492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.