John Farens MD PC

Primary specialty

Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X

License

028528 Issued in CT

Legal business name

JOHN FARENS MD PC

Practice address

224 Leavenworth Rd
Shelton, CT 06484-1809

Phone

(203) 926-1206

Fax

(203) 926-0413

NPI assigned

Oct 4, 2007

Last updated

Mar 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Augustine Farens III, MDNPI 1427133354

Title

President

Phone

(203) 926-1206

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• John Farens, MD

  • Internal Medicine Physician
  • Shelton, CT
  • NPI 1427133354
  Authorized official Same address or phone

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1174711188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 LEAVENWORTH RD",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064841809",
            "telephone_number": "203-926-1206",
            "fax_number": "203-926-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 LEAVENWORTH RD",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064841809",
            "telephone_number": "203-926-1206",
            "fax_number": "203-926-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN FARENS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "FARENS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "AUGUSTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-926-1206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "CT",
            "license": "028528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285289",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny E. Noia-Gilson, LCSW, PLLC
• Georgia Curry Jensen
• Jessica Darin LCSW LLC
• Jmo PLLC
• John a Farens M.D. PC
• Kystal Nicole Johnson-Graham
• Angelis Vanity Johnson
• Christa Johnson, M.D.
• Kenneth E. Johnson, M.D.
• Mackenzie Joyce

• Adolescent Medicine (Internal Medicine) Physician in Shelton, CT
• Providers in Shelton, CT by specialty
• Adolescent Medicine (Internal Medicine) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.