Medical Specialists of Fairfield, LLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

MEDICAL SPECIALISTS OF FAIRFIELD, LLC

Practice address

4699 Main Street
Fairfield, CT 06824

Phone

(203) 255-4545

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Glenn Reznikoff, MD

Title

Authorized Official

Phone

(203) 255-4545

Specialties & licenses 1

Addresses

Tax ID family

Medical Specialists of Fairfield LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medical Specialists of Fairfield, LLC

  dba SWIM Hematology Oncology

  • Hematology & Oncology Physician
  • Bridgeport, CT
  • NPI 1700864097
  NPD tax ID

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144303892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4699 MAIN STREET",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "06824",
            "telephone_number": "203-255-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4699 MAIN STREET",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "06824",
            "telephone_number": "203-255-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SPECIALISTS OF FAIRFIELD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REZNIKOFF",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "203-255-4545",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David M McLean, M.S., L.AC.
• Bridget A McNamara, PT
• Kathryn Clara McNeish
• Marguerite C McVay, LCSW
• Meaningful Behavior Change LLC
• Medical Specialists of Fairfield, LLC
• Mabelle Teodoro Medina, PT
• Sunil Mehra, MD
• Jay L. Meizlish, M.D.
• Glenn Meltzer, D.O.

• Hematology & Oncology Physician in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Hematology & Oncology Physician in Connecticut

• 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.