NPIMap

Organization Active NPI

Joseph B. Guarnaccia, MD, LLC

  • Neurology Physician
  • Derby, CT
National Provider Identifier
1053545616
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
031179 Issued in CT
Legal business name
JOSEPH B. GUARNACCIA, MD, LLC
Practice address
130 Division St
MSTC, C/O Griffin Hospital
Derby, CT 06418-1326
Phone
(203) 732-1290
Fax
(302) 732-1299
NPI assigned
May 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Authorized official

Name
Dr. Joseph Blaise Guarnaccia, M.D.
Title
Sole Owner
Phone
(203) 732-1290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 031179 CT Primary

Addresses

Primary practice location

130 Division St
MSTC, C/O Griffin Hospital
Derby, CT 06418-1326

Mailing address

130 Division St
MSTC, C/O Griffin Hospital
Derby, CT 06418-1326
Phone (203) 732-1290

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1053545616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 DIVISION ST",
            "address_2": "MSTC, C/O GRIFFIN HOSPITAL",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181326",
            "telephone_number": "203-732-1290",
            "fax_number": "302-732-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 DIVISION ST",
            "address_2": "MSTC, C/O GRIFFIN HOSPITAL",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181326",
            "telephone_number": "203-732-1290",
            "fax_number": "302-732-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH B. GUARNACCIA, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "GUARNACCIA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "BLAISE",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "203-732-1290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "031179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.