Organization Active NPI

CT Recovery, PC

Doing business as Start Fresh Recovery

  • Plastic Surgery Physician
  • Norwalk, CT
National Provider Identifier
1184029472
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
13070 Issued in CT
Legal business name
CT RECOVERY, PC
Doing business as
Start Fresh Recovery
Practice address
148 East Ave
Suite 1D
Norwalk, CT 06851-5721
Phone
(203) 208-7120
Fax
(203) 208-7121
NPI assigned
Oct 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Authorized official

Name
Joel B Singer, MD
Title
Medical Director
Phone
(203) 856-6878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 13070 CT Primary

Addresses

Primary practice location

148 East Ave
Suite 1D
Norwalk, CT 06851-5721

Mailing address

148 East Ave
Suite 1D
Norwalk, CT 06851-5721
Phone (203) 208-7120

Other identifiers 1

IdentifierTypeStateIssuer
1730224437OtherCTCOMMERCIAL INSURANCE

Other names 1

  • Start Fresh Recovery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CT Recovery PC2 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.

Locations

148 East Ave
Ste 1D
Norwalk, CT 06851
Phone (203) 853-6570

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1184029472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 EAST AVE",
            "address_2": "SUITE 1D",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515721",
            "telephone_number": "203-208-7120",
            "fax_number": "203-208-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 EAST AVE",
            "address_2": "SUITE 1D",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515721",
            "telephone_number": "203-208-7120",
            "fax_number": "203-208-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT RECOVERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "SINGER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "203-856-6878",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CT",
            "license": "13070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "1730224437",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Start Fresh Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 29, 2014; 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.