NPIMap

Organization Active NPI

Putnam Medical Associates PC

  • Family Medicine Physician
  • Putnam, CT
National Provider Identifier
1053305441
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PUTNAM MEDICAL ASSOCIATES PC
Practice address
330 Pomfret St
Putnam, CT 06260-1854
Phone
(860) 928-2736
Fax
(860) 928-6867
NPI assigned
Aug 31, 2005
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
Romaine P Goyette, MD
Title
President
Phone
(860) 928-2736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X CT Primary

Addresses

Primary practice location

330 Pomfret St
Putnam, CT 06260-1854

Mailing address

PO Box 926
Putnam, CT 06260-0926
Phone (860) 928-2736

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053305441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 926",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062600926",
            "telephone_number": "860-928-2736",
            "fax_number": "860-928-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601854",
            "telephone_number": "860-928-2736",
            "fax_number": "860-928-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOYETTE",
        "authorized_official_first_name": "ROMAINE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-928-2736",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Putnam, 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.