Active NPI
Joseph Cleary, MD
- Internal Medicine Physician
- Norwalk, CT
National Provider Identifier
1285605261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 017553
- Practice address
- 24 Stevens St
Norwalk, CT 06850-3852 - Phone
- (203) 852-2375
- Fax
- (203) 855-3589
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 017553 | CT | Primary |
Addresses
Primary practice location
24 Stevens St
Norwalk, CT 06850-3852
Mailing address
24 Stevens St
Norwalk, CT 06850-3852
Phone (203) 852-2375
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17553 | Other | CT | CONNECTICARE |
| 001175539 | Medicaid | CT | |
| 100017553CT03 | Other | CT | ANTHEM B/C |
| 5139243 | Other | CT | AETNA PROVIDER NUMBER |
| 5316626-002 | Other | CT | CIGNA PROVIDER NUMBER |
| OV8918 | Other | CT | HEALTHNET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017553 | CT | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304294400000",
"number": "1285605261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 STEVENS ST",
"city": "NORWALK",
"state": "CT",
"postal_code": "068503852",
"telephone_number": "203-852-2375",
"fax_number": "203-855-3589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 STEVENS ST",
"city": "NORWALK",
"state": "CT",
"postal_code": "068503852",
"telephone_number": "203-852-2375",
"fax_number": "203-855-3589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEARY",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2011-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "017553",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "17553",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001175539",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM B/C",
"identifier": "100017553CT03",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "5139243",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER NUMBER",
"identifier": "5316626-002",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "OV8918",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.