Fairfield Medical Management Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FAIRFIELD MEDICAL MANAGEMENT GROUP

Practice address

2890 Main St Ste 2a
Stratford, CT 06614-4980

Phone

(203) 633-4560

NPI assigned

Jul 3, 2012

Organization subpart

No

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

Authorized official

Name

Matthias V Ralabate

Title

Member

Phone

(203) 633-4560

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1275897340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2890 MAIN ST STE 2A",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 MAIN ST STE 2A",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144980",
            "telephone_number": "203-633-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD MEDICAL MANAGEMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-03",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "RALABATE",
        "authorized_official_first_name": "MATTHIAS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-633-4560"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Margaret Fabbri
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• Fairfield Family Physicians,LLC
• Faithfully Growing LLC
• Amy B. Falco, PT
• Family Care Visiting Nurse & Home Health Care Agency, LLC
• Family Care Visiting Nurse & Home Health Care Agency, LLC
• Family Care Visiting Nurse and Homecare Agency, LLC

• Internal Medicine Physician in Stratford, CT
• Providers in Stratford, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.