Active NPI
CT Recovery, PC
Doing business as Start Fresh Recovery
- Plastic Surgery Physician
- Norwalk, CT
National Provider Identifier
1184029472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 13070
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730224437 | Other | CT | COMMERCIAL INSURANCE |
Other names 1
- Start Fresh Recovery
National Provider Directory
National Provider Directory- Tax ID family
- CT Recovery PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Health Service Clinic/Center
- Norwalk, CT
- NPI 1619365731
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.