Active NPI
Ionut Anton M.D. PC
- Primary Care Clinic/Center
- Waterbury, CT
National Provider Identifier
1033206826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 040407
- Legal business name
- IONUT ANTON M.D. PC
- Practice address
- 171 Grandview Ave
Suite 204
Waterbury, CT 06708-2517 - Phone
- (203) 596-1906
- Fax
- (203) 596-1861
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ionut B Anton, MD
- Title
- Medical Doctor
- Phone
- (203) 596-1909
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 040407 | CT | Primary |
Addresses
Primary practice location
171 Grandview Ave
Suite 204
Waterbury, CT 06708-2517
Mailing address
171 Grandview Ave
Suite 204
Waterbury, CT 06708-2517
Phone (203) 596-1906
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
171 Grandview Ave
Ste 204
Waterbury, CT 06708
Phone (203) 596-1906
1389 W Main St
Ste 321
Waterbury, CT 06708
Phone (203) 754-2954
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Waterbury, CT
- NPI 1770550238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266278400000",
"number": "1033206826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 GRANDVIEW AVE",
"address_2": "SUITE 204",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082517",
"telephone_number": "203-596-1906",
"fax_number": "203-596-1861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 GRANDVIEW AVE",
"address_2": "SUITE 204",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082517",
"telephone_number": "203-596-1906",
"fax_number": "203-596-1861"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IONUT ANTON M.D. PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2010-02-16",
"status": "A",
"authorized_official_last_name": "ANTON",
"authorized_official_first_name": "IONUT",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "203-596-1909",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "CT",
"license": "040407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.