Organization Active NPI

Victoria Blank MD PC

  • Family Medicine Physician
  • Fairfield, CT
National Provider Identifier
1073687786
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VICTORIA BLANK MD PC
Practice address
400 Post Road
Fairfield, CT 06824-6244
Phone
(203) 255-1565
Fax
(203) 255-3755
NPI assigned
Nov 17, 2006
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
Dr. Victoria E Blank, MD
Title
Medical Director
Phone
(203) 255-1565

Specialties & licenses 1

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

Addresses

Primary practice location

400 Post Road
Fairfield, CT 06824-6244

Mailing address

400 Post Road
Fairfield, CT 06824-6244
Phone (203) 255-1565

National Provider Directory

National Provider Directory

Locations

400 Post Rd
Fairfield, CT 06824
Phone (203) 255-1565

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073687786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 POST ROAD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246244",
            "telephone_number": "203-255-1565",
            "fax_number": "203-255-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 POST ROAD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246244",
            "telephone_number": "203-255-1565",
            "fax_number": "203-255-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA BLANK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLANK",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "203-255-1565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, 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.