Internal Medicine of Westport, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

028009 Issued in CT

Legal business name

INTERNAL MEDICINE OF WESTPORT, PC

Practice address

162 Kings Hwy N Ste 1
Westport, CT 06880-2425

Phone

(203) 226-0731

Fax

(203) 226-1792

NPI assigned

Jul 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jay Adam Horn, M.D.

Title

Ceo

Phone

(203) 226-0731

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1205035193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 KINGS HWY N STE 1",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802425",
            "telephone_number": "203-226-0731",
            "fax_number": "203-226-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 KINGS HWY N STE 1",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802425",
            "telephone_number": "203-226-0731",
            "fax_number": "203-226-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE OF WESTPORT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-226-0731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "028009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Westport, CT
• Providers in Westport, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.