Organization Active NPI

Ionut Anton M.D. PC

  • Primary Care Clinic/Center
  • Waterbury, CT
National Provider Identifier
1033206826
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
040407 Issued in CT
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

Updated by the provider on Feb 16, 2010

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

Authorized official

Name
Dr. Ionut B Anton, MDNPI 1770550238
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20061129000251 CT Part B Supplier - Clinic/Group Practice 6103824131 Receives reassigned benefits from 1 practitioner
Practice locations: Waterbury, CT

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.