NPIMap

Organization Active NPI

Primary Care Partners, PC

  • Internal Medicine Physician
  • Prospect, CT
National Provider Identifier
1225282841
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIMARY CARE PARTNERS, PC
Practice address
166 Waterbury Rd
Suite 300
Prospect, CT 06712-1200
Phone
(203) 758-0878
Fax
(203) 758-0877
NPI assigned
Nov 10, 2008
Last updated
Nov 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Authorized official

Name
Michael Novak
Title
Secretary
Phone
(203) 709-3508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

166 Waterbury Rd
Suite 300
Prospect, CT 06712-1200

Mailing address

166 Waterbury Rd
Suite 300
Prospect, CT 06712-1200
Phone (203) 758-0878

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1225282841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 WATERBURY RD",
            "address_2": "SUITE 300",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067121200",
            "telephone_number": "203-758-0878",
            "fax_number": "203-758-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 WATERBURY RD",
            "address_2": "SUITE 300",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067121200",
            "telephone_number": "203-758-0878",
            "fax_number": "203-758-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE PARTNERS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-10",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "203-709-3508"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.