Organization Active NPI

CB Family Medicine LLC

  • Family Medicine Physician
  • Danbury, CT
National Provider Identifier
1104142090
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036972 Issued in CT
Legal business name
CB FAMILY MEDICINE LLC
Practice address
93 West St
Unit # 3
Danbury, CT 06810-6525
Phone
(203) 205-0607
Fax
(203) 744-1985
NPI assigned
Apr 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

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

Authorized official

Name
Dr. Cristina Blejan
Title
Member
Phone
(203) 205-0607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036972 CT Primary

Addresses

Primary practice location

93 West St
Unit # 3
Danbury, CT 06810-6525

Mailing address

93 West St
Unit # 3
Danbury, CT 06810-6525
Phone (203) 205-0607

National Provider Directory

National Provider Directory

Locations

93 West St
Ste 3
Danbury, CT 06810
Phone (203) 205-0607

912 Norwich New London Tpke
Ste 6
Uncasville, CT 06382
Phone (860) 367-0189

Practitioners & 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": "1271376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364860800000",
    "number": "1104142090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 WEST ST",
            "address_2": "UNIT # 3",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106525",
            "telephone_number": "203-205-0607",
            "fax_number": "203-744-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 WEST ST",
            "address_2": "UNIT # 3",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106525",
            "telephone_number": "203-205-0607",
            "fax_number": "203-744-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CB FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-16",
        "last_updated": "2013-04-02",
        "status": "A",
        "authorized_official_last_name": "BLEJAN",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-205-0607",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "036972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.