NPIMap

Organization Active NPI

Stamford Neurological Associates PC

  • Internal Medicine Physician
  • Stamford, CT
National Provider Identifier
1275704702
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
020144 Issued in CT
Legal business name
STAMFORD NEUROLOGICAL ASSOCIATES PC
Practice address
22 5TH St
Stamford, CT 06905-5030
Phone
(203) 359-1206
Fax
(203) 359-0419
NPI assigned
Mar 12, 2008
Last updated
Mar 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Mrs. Therese Marie Hennessy
Title
Billing
Phone
(203) 359-1206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 020144 CT Primary

Addresses

Primary practice location

22 5TH St
Stamford, CT 06905-5030

Mailing address

22 5TH St
Stamford, CT 06905-5030
Phone (203) 359-1206

National Provider Directory

National Provider Directory

Locations

22 5th St
Stamford, CT 06905
Phone (203) 323-7760

22 5th St
Ph
Stamford, CT 06905
Phone (203) 359-1206

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1275704702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 5TH ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055030",
            "telephone_number": "203-359-1206",
            "fax_number": "203-359-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 5TH ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055030",
            "telephone_number": "203-359-1206",
            "fax_number": "203-359-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAMFORD NEUROLOGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "HENNESSY",
        "authorized_official_first_name": "THERESE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "203-359-1206",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "020144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.