Niurka Johannie Visconti, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

63608 Issued in CT

Practice address

100 Corporate Dr Unit B104
Trumbull, CT 06611-6346

Phone

(203) 769-9133

Fax

(860) 321-4553

NPI assigned

Apr 21, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Niurka Johannie Matos Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthy Heights: Wellness & Weight Loss Clinic LLC

  • Internal Medicine Physician
  • Trumbull, CT
  • NPI 1306513015
  Medicare reassignment Authorized official
• Seasons Medical Group of Connecticut PC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Middlebury, CT
  • NPI 1316491004
  Medicare reassignment NPD
• The Connecticut Hospice, Inc

  • Special Hospital
  • Branford, CT
  • NPI 1740296508
  Medicare reassignment NPD
• Seasons Hospice & Palliative Care of Connecticut, LLC

  • Community Based Hospice Care Agency
  • Middlebury, CT
  • NPI 1669726477
  NPD (past)

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1205280690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CORPORATE DR UNIT B104",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066116346",
            "telephone_number": "203-769-9133",
            "fax_number": "860-321-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CORPORATE DR UNIT B104",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066116346",
            "telephone_number": "203-769-9133",
            "fax_number": "860-321-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISCONTI",
        "first_name": "NIURKA",
        "middle_name": "JOHANNIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "63608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "healthyheightsclinic@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Corporate Dr Unit B104",
            "city": "Trumbull",
            "state": "CT",
            "country_code": "US",
            "postal_code": "066116346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NIURKA",
            "last_name": "MATOS",
            "middle_name": "JOHANNIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mischa Will Vesely
• Victoria Simeone LCSW LLC
• Renu Vij, MS, RD, CDN
• Miranda R Vincent, A.P.R.N.
• Nicholas A Viner, MD
• Aidaliz Vizcaino
• Jennifer Wagh, OD
• Michell Wallace, PTA
• Albert Fraser Walters, MD
• Michael N Waltzman, M.D., PH.D.

• Internal Medicine Physician in Trumbull, CT
• Providers in Trumbull, 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 Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.