Organization Active NPI

Internal Medicine Associates of Darien, P.C.

  • Internal Medicine Physician
  • Darien, CT
National Provider Identifier
1376574947
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INTERNAL MEDICINE ASSOCIATES OF DARIEN, P.C.
Practice address
36 Old Kings Hwy S
Suite 200
Darien, CT 06820-4523
Phone
(203) 655-4484
Fax
(203) 656-0701
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Authorized official

Name
Dr. Philip Edward Negus, M.D.
Title
Physician
Phone
(203) 655-4484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

36 Old Kings Hwy S
Suite 200
Darien, CT 06820-4523

Mailing address

36 Old Kings Hwy S
Suite 200
Darien, CT 06820-4523
Phone (203) 655-4484

Other identifiers 9

IdentifierTypeStateIssuer
001222256MedicaidCT
001396614MedicaidCT
001355785MedicaidCT
110171891OtherCTRAILROAD MEDICARE PROVIDE
110220758OtherCTRAILROAD MEDICARE PROVIDE
001172683MedicaidCT
001236066MedicaidCT
110144792OtherCTRAILROAD MEDICARE PROVIDE
110218045OtherCTRAILROAD MEDICARE NUMBER

National Provider Directory

National Provider Directory

Locations

36 Old Kings Hwy S
Ste 200
Darien, CT 06820
Phone (203) 655-4484

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": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1376574947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 OLD KINGS HWY S",
            "address_2": "SUITE 200",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204523",
            "telephone_number": "203-655-4484",
            "fax_number": "203-656-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 OLD KINGS HWY S",
            "address_2": "SUITE 200",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204523",
            "telephone_number": "203-655-4484",
            "fax_number": "203-656-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES OF DARIEN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "NEGUS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "203-655-4484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001222256",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001396614",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001355785",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDE",
            "identifier": "110171891",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDE",
            "identifier": "110220758",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001172683",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001236066",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDE",
            "identifier": "110144792",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "110218045",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.