NPIMap

Organization Active NPI

Danbury Internal Medicine Associates Prof Corp

  • Specialist
  • Danbury, CT
National Provider Identifier
1164488177
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DANBURY INTERNAL MEDICINE ASSOCIATES PROF CORP
Practice address
16 Hospital Ave
Suite 102
Danbury, CT 06810-5927
Phone
(203) 830-4607
Fax
(203) 743-8096
NPI assigned
Apr 26, 2006
Last updated
Nov 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Authorized official

Name
Mrs. Linda Newman
Title
Executive Director
Phone
(203) 830-4607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

16 Hospital Ave
Suite 102
Danbury, CT 06810-5927

Mailing address

16 Hospital Ave
Suite 102
Danbury, CT 06810-5927
Phone (203) 830-4607

Other identifiers 1

IdentifierTypeStateIssuer
004000857MedicaidCT

National Provider Directory

National Provider Directory

Locations

16 Hospital Ave
Ste 102
Danbury, CT 06810
Phone (203) 830-4607

7 Germantown Rd
Ste 1B
Danbury, CT 06810
Phone (203) 794-8020

7 Germantown Rd
Ste 2A
Danbury, CT 06810
Phone (203) 794-0090

92 Locust Ave
Danbury, CT 06810
Phone (203) 744-4511

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1164488177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HOSPITAL AVE",
            "address_2": "SUITE 102",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105927",
            "telephone_number": "203-830-4607",
            "fax_number": "203-743-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HOSPITAL AVE",
            "address_2": "SUITE 102",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105927",
            "telephone_number": "203-830-4607",
            "fax_number": "203-743-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANBURY INTERNAL MEDICINE ASSOCIATES PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-830-4607",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004000857",
            "state": "CT"
        }
    ],
    "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 Nov 29, 2010; 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.