Active NPI
County Obstetrics and Gynecology Group
- Obstetrics & Gynecology Physician
- Branford, CT
National Provider Identifier
1265426332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- COUNTY OBSTETRICS AND GYNECOLOGY GROUP
- Practice address
- 687 Main St
Branford, CT 06405-3612 - Phone
- (203) 488-8306
- Fax
- (203) 481-0267
- NPI assigned
- Sep 6, 2005
- Last updated
- Apr 8, 2009
- 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. Tina D'Amico, MHA
- Title
- Administrator
- Phone
- (203) 315-7071
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
687 Main St
Branford, CT 06405-3612
Mailing address
687 Main St
Branford, CT 06405-3612
Phone (203) 488-8306
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004141264 | Medicaid | CT |
National Provider Directory
National Provider DirectoryLocations
8 E Main St
Clinton, CT 06413
Phone (860) 669-0719
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Branford, CT
- NPI 1922092188
-
- Obstetrics & Gynecology Physician
- Branford, CT
- NPI 1346234580
-
- Obstetrics & Gynecology Physician
- New Haven, CT
- NPI 1952399263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239148800000",
"number": "1265426332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "687 MAIN ST",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064053612",
"telephone_number": "203-488-8306",
"fax_number": "203-481-0267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "687 MAIN ST",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064053612",
"telephone_number": "203-488-8306",
"fax_number": "203-481-0267"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OBSTETRICS AND GYNECOLOGY GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-06",
"last_updated": "2009-04-08",
"status": "A",
"authorized_official_last_name": "D'AMICO",
"authorized_official_first_name": "TINA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "203-315-7071",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MHA"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004141264",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Branford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.