Organization Active NPI

Village Square Internal Medicine PC

  • Internal Medicine Physician
  • Bethel, CT
National Provider Identifier
1023212032
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VILLAGE SQUARE INTERNAL MEDICINE PC
Practice address
2 Elizabeth Street
Bethel, CT 06801
Phone
(203) 791-2221
Fax
(203) 791-0682
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
James W Finnerty, MDNPI 1437154663
Title
President
Phone
(203) 791-2221

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2 Elizabeth Street
Bethel, CT 06801

Mailing address

2 Elizabeth Street
Bethel, CT 06801
Phone (203) 791-2221

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D0890251Village Square Internal Medicine2 Elizabeth Street, Bethel, CT 06801Provider-performed microscopyJan 12, 2028

National Provider Directory

National Provider Directory

Locations

2 Elizabeth St
Bethel, CT 06801
Phone (203) 791-2221

2 Elizabeth St
Unit 111
Bethel, CT 06801

2 Elizabeth St
#111
Bethel, CT 06801
Phone (203) 791-2221

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1023212032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ELIZABETH STREET",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "06801",
            "telephone_number": "203-791-2221",
            "fax_number": "203-791-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ELIZABETH STREET",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "06801",
            "telephone_number": "203-791-2221",
            "fax_number": "203-791-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE SQUARE INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "FINNERTY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-791-2221",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.