Individual provider Active NPI

Vittoria Gassman, MD

  • Internal Medicine Physician
  • Norwalk, CT
National Provider Identifier
1013987700
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
034764 Issued in CT
Practice address
120 Connecticut Ave
Norwalk Community Health Center
Norwalk, CT 06854-1525
Phone
(203) 899-1770
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 034764 CT Primary
Hospitalist Physician 208M00000X 034764 CT

Addresses

Primary practice location

120 Connecticut Ave
Norwalk Community Health Center
Norwalk, CT 06854-1525

Mailing address

120 Connecticut Ave
Norwalk Community Health Center
Norwalk, CT 06854-1525
Phone (203) 899-1770

Other identifiers 7

IdentifierTypeStateIssuer
P1904083OtherCTOXFORD
001347641MedicaidCT
2052972OtherCTUHC
61522078OtherCTAETNA
2V2429OtherCTHEALTHNET
3731399OtherCTCIGNA
010034764CT02OtherCTANTHEM B/C

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060112000614 CT Practitioner - Internal MedicinePractitioner - Geriatric Medicine 4385667658 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Professional Group, LLC Internal Medicine CurrentSince May 13, 2013 Accepting new patients
Norwalk Community Health Center Inc Past Accepting new patients

Locations

4200 Park Ave
Bridgeport, CT 06604
Phone (203) 365-6400

175 Jefferson St
Fairfield, CT 06825
Phone (203) 365-6400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCDGCD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mozaic HospiceBridgeport, CT, CCN 071541 Hospice W-2 Managing Employee Oct 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1013987700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CONNECTICUT AVE",
            "address_2": "NORWALK COMMUNITY HEALTH CENTER",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068541525",
            "telephone_number": "203-899-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CONNECTICUT AVE",
            "address_2": "NORWALK COMMUNITY HEALTH CENTER",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068541525",
            "telephone_number": "203-899-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASSMAN",
        "first_name": "VITTORIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "034764",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "034764",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1904083",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001347641",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2052972",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "61522078",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V2429",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3731399",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM B/C",
            "identifier": "010034764CT02",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.