Marathon Healthcare of Norwalk

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2303 Issued in CT

Legal business name

MARATHON HEALTHCARE OF NORWALK

Practice address

23 Prospect Ave
Norwalk, CT 06850-3705

Phone

(203) 853-0010

Fax

(203) 853-2883

NPI assigned

May 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Czerniewski

Title

Chief Financial Officer

Phone

(860) 290-7514

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205883519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 E RIVER DR",
            "address_2": "RIVERVIEW SQUARE 8TH FLOOR",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083288",
            "telephone_number": "860-528-0007",
            "fax_number": "860-528-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 PROSPECT AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503705",
            "telephone_number": "203-853-0010",
            "fax_number": "203-853-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON HEALTHCARE OF NORWALK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CZERNIEWSKI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "860-290-7514",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rakhee Mangla, M.D.
• Amrik S Mann, RPH
• Ramil Mansourov, M.D.
• Jennifer Manto
• Leonardo Giuliano Marano, LCSW
• Alison Ruth Marcell, LMSW
• Jeanne M Marconi, MD
• Cynthia Ann Marcus, D.C.
• Mary Goldstein Marcus, PH.D.
• Marcy S Puklin LCSW LLC

• Skilled Nursing Facility in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Skilled Nursing Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.