East Avenue Medical Associates, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

017524 Issued in CT

Legal business name

EAST AVENUE MEDICAL ASSOCIATES, LLC

Practice address

148 East Ave
2L
Norwalk, CT 06851-5721

Phone

(203) 853-2323

Fax

(203) 831-8120

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Hans Martin Fuchs, M.D.

Title

Owner

Phone

(203) 853-2323

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abdul Rahim Rahimyar, M.D.

  • Internal Medicine Physician
  • Norwalk, CT
  • NPI 1710935432
  NPD (past)
• Vidhya Varadarajan Rukmani, M.D.

  • Internal Medicine Physician
  • Norwalk, CT
  • NPI 1649204603
  NPD (past)
• Wendy Yan-Kay Chun, NP

  • Primary Care Nurse Practitioner
  • San Francisco, CA
  • NPI 1891800686
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275562019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 EAST AVE",
            "address_2": "2L",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515721",
            "telephone_number": "203-853-2323",
            "fax_number": "203-831-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 EAST AVE",
            "address_2": "2L",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515721",
            "telephone_number": "203-853-2323",
            "fax_number": "203-831-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST AVENUE MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FUCHS",
        "authorized_official_first_name": "HANS",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-853-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "017524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary A Durand, APRN
• Patrick Hieu Durand, M.D.
• Dva Renal Healthcare Inc
• Dynutrix, LLC
• Corynn Rose Dziezynski, PA-C
• East Avenue Pediatrics PC
• Gendai Echezona, MD
• Gregory Eckenrode, M.D.
• Marcia Eckerd, PH.D.
• William Marcus Eckerd, M.D.

• Specialist in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Specialist 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.