Individual provider Active NPI

Robert P Hurley, M.D.

  • Occupational Medicine Physician
  • Groton, CT
National Provider Identifier
1013941871
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
81450 Issued in MA
Practice address
75 Eastern Point Rd
Department 644, Station A97-1
Groton, CT 06340-4905
Phone
(860) 433-1019
Fax
(860) 433-0639
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 81450 MA Primary

Addresses

Primary practice location

75 Eastern Point Rd
Department 644, Station A97-1
Groton, CT 06340-4905

Mailing address

75 Eastern Point Rd
Department 644, Station A97-1
Groton, CT 06340-4905
Phone (860) 433-1019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
81450MAMDOccupational Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1013941871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 EASTERN POINT RD",
            "address_2": "DEPARTMENT 644, STATION A97-1",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404905",
            "telephone_number": "860-433-1019",
            "fax_number": "860-433-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 EASTERN POINT RD",
            "address_2": "DEPARTMENT 644, STATION A97-1",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404905",
            "telephone_number": "860-433-1019",
            "fax_number": "860-433-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "ROBERT",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MA",
            "license": "81450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.