NPIMap

Organization Active NPI

Neurology Associates of Norwalk, P.C.

  • Neurology Physician
  • Norwalk, CT
National Provider Identifier
1306917992
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGY ASSOCIATES OF NORWALK, P.C.
Practice address
637 West Ave
Suite 200
Norwalk, CT 06850-4004
Phone
(203) 853-5000
Fax
(203) 853-5001
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
John R Gagne
Title
Practice Manager
Phone
(203) 853-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X CT Primary

Addresses

Primary practice location

637 West Ave
Suite 200
Norwalk, CT 06850-4004

Mailing address

605 West Avenue
Second Floor
Norwalk, CT 06850-4004
Phone (203) 853-5000

Other identifiers 1

IdentifierTypeStateIssuer
004001616MedicaidCT

National Provider Directory

National Provider Directory

Locations

605 West Ave
Ste 2
Norwalk, CT 06850
Phone (203) 853-5000

637 West Ave
Ste 200
Norwalk, CT 06850
Phone (203) 853-5000

Practitioners & affiliated clinicians

Practitioners 6

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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306917992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 WEST AVENUE",
            "address_2": "SECOND FLOOR",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068504004",
            "telephone_number": "203-853-5000",
            "fax_number": "203-853-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 WEST AVE",
            "address_2": "SUITE 200",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068504004",
            "telephone_number": "203-853-5000",
            "fax_number": "203-853-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY ASSOCIATES OF NORWALK, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2022-07-21",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "GAGNE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "203-853-5000"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004001616",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.