NPIMap

Organization Active NPI

Peter Anderson

  • Family Medicine Physician
  • New Milford, CT
National Provider Identifier
1063611267
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
025352 Issued in CT
Legal business name
PETER ANDERSON
Practice address
1 Old Park LN
Suite 2
New Milford, CT 06776-2562
Phone
(860) 355-3728
Fax
(860) 355-4253
NPI assigned
Jul 17, 2007
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Peter Lloyd Anderson, M.D.NPI 1396715231
Title
PCP
Phone
(860) 355-3728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 025352 CT Primary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X 000613 CT

Addresses

Primary practice location

1 Old Park LN
Suite 2
New Milford, CT 06776-2562

Mailing address

1 Old Park LN
Suite 2
New Milford, CT 06776-2562
Phone (860) 355-3728

Other identifiers 1

IdentifierTypeStateIssuer
001253525MedicaidCT

Other names 1

  • NEW MILFORD FAMILY PRACTICE Other name

National Provider Directory

National Provider Directory

Locations

1 Old Park Lane Rd
Ste 2
New Milford, CT 06776
Phone (860) 355-3728

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1063611267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OLD PARK LN",
            "address_2": "SUITE 2",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067762562",
            "telephone_number": "860-355-3728",
            "fax_number": "860-355-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OLD PARK LN",
            "address_2": "SUITE 2",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067762562",
            "telephone_number": "860-355-3728",
            "fax_number": "860-355-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER ANDERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "PCP",
        "authorized_official_telephone_number": "860-355-3728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "025352",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "000613",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001253525",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW MILFORD FAMILY PRACTICE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.