Active NPI
Endocrine Associates LLC
- Endocrinology, Diabetes & Metabolism Physician
- Trumbull, CT
National Provider Identifier
1295720670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004246783 | Medicaid | CT | |
| DC5833 | Other | CT | MEDICARE RAILROAD GROUP # |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Trumbull, CT
- NPI 1851071716
-
- Family Nurse Practitioner
- Milford, CT
- NPI 1629055736
-
- Registered Dietitian
- Bridgeport, CT
- NPI 1659060911
-
- Surgical Critical Care Physician
- Lawrence, MA
- NPI 1043646565
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.