Organization Active NPI

Connecticut Neurology Consultants PC

  • Neurology Physician
  • Bloomfield, CT
National Provider Identifier
1013955012
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
CONNECTICUT NEUROLOGY CONSULTANTS PC
Practice address
580 Cottage Grove Rd
#106
Bloomfield, CT 06002-3088
Phone
(860) 243-9709
Fax
(860) 243-2522
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael M Krinsky, MD
Title
President
Phone
(860) 243-9709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

580 Cottage Grove Rd
#106
Bloomfield, CT 06002-3088

Mailing address

580 Cottage Grove Rd
#106
Bloomfield, CT 06002-3088
Phone (860) 243-9709

Other identifiers 1

IdentifierTypeStateIssuer
4074258MedicaidCT

Other names 1

  • Michael M Krinsky MD PC Former legal business name

National Provider Directory

National Provider Directory

Locations

580 Cottage Grove Rd
Ste 106
Bloomfield, CT 06002
Phone (860) 242-5580

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013955012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 COTTAGE GROVE RD",
            "address_2": "#106",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023088",
            "telephone_number": "860-243-9709",
            "fax_number": "860-243-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 COTTAGE GROVE RD",
            "address_2": "#106",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023088",
            "telephone_number": "860-243-9709",
            "fax_number": "860-243-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT NEUROLOGY CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRINSKY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-243-9709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4074258",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael M Krinsky MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bloomfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.