NPIMap

Organization Active NPI

Internal Medicine of Clinton, LLC

  • Primary Care Clinic/Center
  • Clinton, CT
National Provider Identifier
1295868446
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
031728 Issued in CT
Legal business name
INTERNAL MEDICINE OF CLINTON, LLC
Practice address
8 E Main St
Suite 203
Clinton, CT 06413-2058
Phone
(860) 669-3520
NPI assigned
Mar 14, 2007
Last updated
Nov 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Authorized official

Name
Michael Rubinstein
Title
President
Phone
(860) 669-3520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 031728 CT Primary

Addresses

Primary practice location

8 E Main St
Suite 203
Clinton, CT 06413-2058

Mailing address

5 Pequot Park Road
Suite 301
Westbrook, CT 06413-2058
Phone (860) 399-6167

National Provider Directory

National Provider Directory

Locations

8 E Main St
Ste 203
Clinton, CT 06413
Phone (860) 669-0719

5 Pequot Park Rd
Ste 301
Westbrook, CT 06498
Phone (860) 399-6167

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1295868446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PEQUOT PARK ROAD",
            "address_2": "SUITE 301",
            "city": "WESTBROOK",
            "state": "CT",
            "postal_code": "064132058",
            "telephone_number": "860-399-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 E MAIN ST",
            "address_2": "SUITE 203",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064132058",
            "telephone_number": "860-669-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE OF CLINTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "RUBINSTEIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-669-3520"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CT",
            "license": "031728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.