Individual provider Active NPI

Martin Kremenitzer, M.D.

  • Neurology Physician
  • Danbury, CT
National Provider Identifier
1215997598
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
CT018673 Issued in CT
Practice address
69 Sand Pit Rd
Danbury, CT 06810-4004
Phone
(203) 748-2551
Fax
(203) 790-6375
NPI assigned
Mar 23, 2006
Last updated
Aug 31, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X CT018673 CT Primary

Addresses

Primary practice location

69 Sand Pit Rd
Danbury, CT 06810-4004

Mailing address

69 Sand Pit Rd
Danbury, CT 06810-4004
Phone (203) 748-2551

Other identifiers 1

IdentifierTypeStateIssuer
1186733MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CT018673CTMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Neurologists, PC Neurology PastSince Jul 1, 1991 Accepting new patients
Nuvance Health Medical Practice CT, Inc. PastSince Mar 1, 2020 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188518400000",
    "number": "1215997598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 SAND PIT RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104004",
            "telephone_number": "203-748-2551",
            "fax_number": "203-790-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 SAND PIT RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104004",
            "telephone_number": "203-748-2551",
            "fax_number": "203-790-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREMENITZER",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2007-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "CT018673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1186733",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.