Organization Active NPI

Endocrine Associates LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Trumbull, CT
National Provider Identifier
1295720670
Registry record updated Feb 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
ENDOCRINE ASSOCIATES LLC
Practice address
115 Technology Dr Unit C101
Trumbull, CT 06611-6300
Phone
(203) 372-7200
Fax
(203) 374-1473
NPI assigned
Sep 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2018

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

Authorized official

Name
Linda Werner
Title
President
Phone
(203) 372-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

115 Technology Dr Unit C101
Trumbull, CT 06611-6300

Mailing address

115 Technology Dr Unit C101
Trumbull, CT 06611-6300
Phone (203) 372-7200

Other identifiers 2

IdentifierTypeStateIssuer
004246783MedicaidCT
DC5833OtherCTMEDICARE RAILROAD GROUP #

National Provider Directory

National Provider Directory

Locations

3180 Main St
Ste 105
Bridgeport, CT 06606
Phone (203) 372-2320

115 Technology Dr
Unit C101
Trumbull, CT 06611
Phone (203) 372-7200

Practitioners & affiliated clinicians

Practitioners 4

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": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518998400000",
    "number": "1295720670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 TECHNOLOGY DR UNIT C101",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066116300",
            "telephone_number": "203-372-7200",
            "fax_number": "203-374-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 TECHNOLOGY DR UNIT C101",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066116300",
            "telephone_number": "203-372-7200",
            "fax_number": "203-374-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2018-02-19",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-372-7200"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004246783",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP #",
            "identifier": "DC5833",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; 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.