Organization Active NPI

Gastroenterology Associates of Fairfield P C

Doing business as gastroenterology associates of fairfield county p c

  • Specialist
  • Fairfield, CT
National Provider Identifier
1285710442
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
001144435 Issued in CT
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 FAIRFIELDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
004123361MedicaidCT

Other names 1

  • gastroenterology associates of fairfield county p c Doing business as

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.

Practitioners & affiliated clinicians

Practitioners 3

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

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.

Verify at the official NPI Registry.