Individual provider Active NPI

David Jacob Nochimson, M.D.

  • Maternal & Fetal Medicine Physician
  • North Granby, CT
National Provider Identifier
1356478408
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
021601 Issued in CT
Practice address
15 Donahue Rd
North Granby, CT 06060-1404
Phone
(860) 653-3466
Fax
(860) 653-3238
NPI assigned
Feb 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 021601 CT Primary

Addresses

Primary practice location

15 Donahue Rd
North Granby, CT 06060-1404

Mailing address

15 Donahue Rd
North Granby, CT 06060-1404
Phone (860) 653-3466

Other identifiers 1

IdentifierTypeStateIssuer
1216019MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
021601CTMDMaternal & Fetal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356478408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DONAHUE RD",
            "city": "NORTH GRANBY",
            "state": "CT",
            "postal_code": "060601404",
            "telephone_number": "860-653-3466",
            "fax_number": "860-653-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DONAHUE RD",
            "city": "NORTH GRANBY",
            "state": "CT",
            "postal_code": "060601404",
            "telephone_number": "860-653-3466",
            "fax_number": "860-653-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOCHIMSON",
        "first_name": "DAVID",
        "middle_name": "JACOB",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CT",
            "license": "021601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1216019",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Granby, CT

Sources for this page

Verify at the official NPI Registry.