Active NPI
Norwich Medical Associates, LLC
- Internal Medicine Physician
- Norwich, CT
National Provider Identifier
1255466181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NORWICH MEDICAL ASSOCIATES, LLC
- Practice address
- 12 Case St
Suite 103
Norwich, CT 06360-2222 - Phone
- (860) 889-4281
- Fax
- (860) 887-7255
- NPI assigned
- Feb 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Paula Jean Ilewicz
- Title
- Office Manager
- Phone
- (860) 889-4281
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
12 Case St
Suite 103
Norwich, CT 06360-2222
Mailing address
12 Case St
Suite 103
Norwich, CT 06360-2222
Phone (860) 889-4281
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12 Case St
Ste 103
Norwich, CT 06360
Phone (860) 222-0949
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Norwich, CT
- NPI 1831155449
-
- Internal Medicine Physician
- Norwich, CT
- NPI 1457319998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360713600000",
"number": "1255466181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 CASE ST",
"address_2": "SUITE 103",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602222",
"telephone_number": "860-889-4281",
"fax_number": "860-887-7255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 CASE ST",
"address_2": "SUITE 103",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602222",
"telephone_number": "860-889-4281",
"fax_number": "860-887-7255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORWICH MEDICAL ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2013-02-13",
"status": "A",
"authorized_official_last_name": "ILEWICZ",
"authorized_official_first_name": "PAULA",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "860-889-4281",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwich, CT
- Norwich Diagnostic Imaging Associates P.C
- Norwich Endocrinology LLC
- Norwich Eye Care P.C
- Norwich Family Dental Associates
- Norwich Infectious Disease Associates LLC
- Norwich OB/GYN Group PC
- Norwich Ophthalmology Group, P.C.
- Norwich Ophthalmology Optical
- Norwich Optometry LLC
- Norwich Oral & Maxillofacial Surgeons, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.