Organization Active NPI

Americares Free Clinic of Norwalk

  • Primary Care Clinic/Center
  • Norwalk, CT
National Provider Identifier
1174642086
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0257 Issued in CT
Legal business name
AMERICARES FREE CLINIC OF NORWALK
Practice address
98 S Main St
Norwalk, CT 06854-3126
Phone
(203) 899-2493
Fax
(203) 899-2495
NPI assigned
Mar 29, 2007
Last updated
Jul 18, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
AMERICARES FREE CLINICS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Authorized official

Name
Karen Gottlieb
Title
Executive Director
Phone
(203) 658-9650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 0257 CT Primary

Addresses

Primary practice location

98 S Main St
Norwalk, CT 06854-3126

Mailing address

98 S Main St
Norwalk, CT 06854-3126
Phone (203) 899-2493

National Provider Directory

National Provider Directory
Part of
Americares Free Clinic of Norwalk

Locations

98 S Main St
Norwalk, CT 06854
Phone (203) 899-2493

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16244/brand/1/csg/81/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1174642086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 S MAIN ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068543126",
            "telephone_number": "203-899-2493",
            "fax_number": "203-899-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 S MAIN ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068543126",
            "telephone_number": "203-899-2493",
            "fax_number": "203-899-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICARES FREE CLINIC OF NORWALK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICARES FREE CLINICS, INC.",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-658-9650"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CT",
            "license": "0257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.