Active NPI
Impact Care Physicians CT PC
- Family Medicine Physician
- Hamden, CT
National Provider Identifier
1073463147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- IMPACT CARE PHYSICIANS CT PC
- Practice address
- 850 Mix Ave
Hamden, CT 06514-2102 - Phone
- (212) 734-6621
- NPI assigned
- Jan 29, 2026
- 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
- Eli Wercberger, DO
- Title
- Officer
- Phone
- (917) 627-2130
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
850 Mix Ave
Hamden, CT 06514-2102
Mailing address
250 Skillman St Ste 202
Brooklyn, NY 11205-1218
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1769644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774310400000",
"number": "1073463147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 SKILLMAN ST STE 202",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112051218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 MIX AVE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065142102",
"telephone_number": "212-734-6621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMPACT CARE PHYSICIANS CT PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-29",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A",
"authorized_official_last_name": "WERCBERGER",
"authorized_official_first_name": "ELI",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "917-627-2130",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.