Active NPI
Daniel G. Sica, M.D.
- Internal Medicine Physician
- Trumbull, CT
National Provider Identifier
1083668628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 025730
- Practice address
- 888 White Plains Rd
Suite 203
Trumbull, CT 06611-4552 - Phone
- (203) 459-0408
- Fax
- (203) 459-0410
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 025730 | CT | Primary |
Addresses
Primary practice location
888 White Plains Rd
Suite 203
Trumbull, CT 06611-4552
Mailing address
888 White Plains Rd
Suite 203
Trumbull, CT 06611-4552
Phone (203) 459-0408
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001257302 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025730 | CT | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369958400000",
"number": "1083668628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "888 WHITE PLAINS RD",
"address_2": "SUITE 203",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066114552",
"telephone_number": "203-459-0408",
"fax_number": "203-459-0410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 WHITE PLAINS RD",
"address_2": "SUITE 203",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066114552",
"telephone_number": "203-459-0408",
"fax_number": "203-459-0410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SICA",
"first_name": "DANIEL",
"middle_name": "G.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2013-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "025730",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001257302",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.