Northwest Connecticut Physicians LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

021448 Issued in CT

Legal business name

NORTHWEST CONNECTICUT PHYSICIANS LLC

Practice address

895 East Main St
Torrington, CT 06790-3918

Phone

(860) 489-1291

Fax

(860) 489-1804

NPI assigned

Aug 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dennis Jay Gottfried, M.D.

Title

Partner

Phone

(860) 489-1291

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• GOTTFRIED TAKIFF MD Former legal business name

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Allan Moseley, M.D.

  • Internal Medicine Physician
  • Torrington, CT
  • NPI 1871796961
  NPD
• Kelly Quijano, APRN

  • Primary Care Nurse Practitioner
  • Torrington, CT
  • NPI 1467196121

  Adult Health

  NPD
• G John Gargiulo, DDS

  • Dentist
  • Torrington, CT
  • NPI 1326181637
  NPD (past)

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1396935615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 EAST MAIN ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903918",
            "telephone_number": "860-489-1291",
            "fax_number": "860-489-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 EAST MAIN ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903918",
            "telephone_number": "860-489-1291",
            "fax_number": "860-489-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST CONNECTICUT PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "GOTTFRIED",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "860-489-1291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "021448",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "004854",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004394904",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOTTFRIED TAKIFF MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Laura M Nietch, PT
• James Patrick Nolan, MD
• Michele P. Normandin, MD
• North Star Behavioral Health Services, LLC
• Northeast Hearing LLC
• Northwest Corner Dental Partners LLP
• Northwest Ear Nose &Throat Specialists PC
• Northwest Foot Specialists, L.L.P.
• Northwest Hills Pediatrics PC
• Northwest Physical Medicine. LLC

• Internal Medicine Physician in Torrington, CT
• Providers in Torrington, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.