Active NPI
On Call Medical Care CT PC
- Family Medicine Physician
- Cheshire, CT
National Provider Identifier
1093300444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ON CALL MEDICAL CARE CT PC
- Practice address
- 405 Maple Ave Ste 1
Cheshire, CT 06410-2154 - Phone
- (516) 615-8586
- NPI assigned
- Mar 8, 2021
- 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
- Dr. Simon Fensterszaub, DO
- Title
- President
- Phone
- (516) 615-8586
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
405 Maple Ave Ste 1
Cheshire, CT 06410-2154
Mailing address
405 Maple Ave Ste 1
Cheshire, CT 06410-2154
Phone (516) 615-8586
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615161600000",
"number": "1093300444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 MAPLE AVE STE 1",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064102154",
"telephone_number": "516-615-8586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 MAPLE AVE STE 1",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064102154",
"telephone_number": "516-615-8586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ON CALL MEDICAL CARE CT PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-08",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A",
"authorized_official_last_name": "FENSTERSZAUB",
"authorized_official_first_name": "SIMON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-615-8586",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"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 Cheshire, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.