Active NPI
Gastroenterology Associates of Fairfield P C
Doing business as gastroenterology associates of fairfield county p c
- Specialist
- Fairfield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 001144435
- Legal business name
- GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD P C
- Doing business as
- gastroenterology associates of fairfield county p c
- Practice address
- 425 Post Rd
Fairfield, CT 06824-6232 - Phone
- (203) 292-9000
- Fax
- (203) 292-1700
- NPI assigned
- Oct 31, 2006
- Organization subpart
- Yes
- Parent organization
- GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph Engel
- Title
- Administrator
- Phone
- (203) 292-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 001144435 | CT | Primary |
Addresses
Primary practice location
425 Post Rd
Fairfield, CT 06824-6232
Mailing address
425 Post Rd
Fairfield, CT 06824-6232
Phone (203) 292-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004123361 | Medicaid | CT |
Other names 1
- gastroenterology associates of fairfield county p c
National Provider Directory
National Provider Directory- Part of
- Gastroenterology Associates of Fairfield P C
Locations
2660 Main St
Ste 310
Bridgeport, CT 06606
Phone (203) 610-6825
3800 Main St
Ste 103
Bridgeport, CT 06606
4641 Main St
Ste 1
Bridgeport, CT 06606
Phone (203) 374-4966
2820 Main St
Stratford, CT 06615
1825 Barnum Ave
Ste 203
Stratford, CT 06614
Phone (203) 377-5493
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba endoscopy center of fairfield
- Ambulatory Surgical Clinic/Center
- Fairfield, CT
- NPI 1982793709
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Bridgeport, CT
- NPI 1982653903
-
- Specialist
- Stamford, CT
- NPI 1891728853
-
- Gastroenterology Physician
- Lubbock, TX
- NPI 1295734424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276732800000",
"number": "1285710442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 POST RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246232",
"telephone_number": "203-292-9000",
"fax_number": "203-292-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 POST RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246232",
"telephone_number": "203-292-9000",
"fax_number": "203-292-1700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD P C",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD",
"enumeration_date": "2006-10-31",
"last_updated": "2010-06-17",
"status": "A",
"authorized_official_last_name": "ENGEL",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "203-292-9000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CT",
"license": "001144435",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004123361",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "gastroenterology associates of fairfield county p c",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.