NPIMap

Organization Active NPI

Norwalk Integrated Medical Center, LLC

  • Internal Medicine Physician
  • Norwalk, CT
National Provider Identifier
1396186144
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
031959 Issued in CT
Legal business name
NORWALK INTEGRATED MEDICAL CENTER, LLC
Practice address
365 Westport Ave
Norwalk, CT 06851-4344
Phone
(203) 845-0400
Fax
(203) 845-0005
NPI assigned
Jul 9, 2013
Last updated
Jul 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Diego Murcia, D.C.NPI 1710239660
Title
Owner
Phone
(203) 845-0400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001913 CT
Internal Medicine Physician 207R00000X 031959 CT Primary

Addresses

Primary practice location

365 Westport Ave
Norwalk, CT 06851-4344

Mailing address

365 Westport Ave
Norwalk, CT 06851-4344
Phone (203) 845-0400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1396186144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 WESTPORT AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514344",
            "telephone_number": "203-845-0400",
            "fax_number": "203-845-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 WESTPORT AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514344",
            "telephone_number": "203-845-0400",
            "fax_number": "203-845-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORWALK INTEGRATED MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "MURCIA",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-845-0400",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001913",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "031959",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 9, 2013; 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.