Organization Active NPI

Fairfield Interventional and Vascular Specialists PC

  • Diagnostic Radiology Physician
  • Fairfield, CT
National Provider Identifier
1437700531
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
FAIRFIELD INTERVENTIONAL AND VASCULAR SPECIALISTS PC
Practice address
1 Sasco Hill Rd Ste 2
Fairfield, CT 06824-5670
Phone
(203) 256-0070
Fax
(203) 256-0077
NPI assigned
Sep 20, 2019
Last updated
Sep 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Authorized official

Name
Lorenz Esparza
Title
Revenue Cycle Manager
Phone
(630) 725-2764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

1 Sasco Hill Rd Ste 2
Fairfield, CT 06824-5670

Mailing address

2001 Butterfield Rd Ste 300
Downers Grove, IL 60515-1069
Phone (630) 725-2700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1437700531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 300",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151069",
            "telephone_number": "630-725-2700",
            "fax_number": "833-842-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SASCO HILL RD STE 2",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245670",
            "telephone_number": "203-256-0070",
            "fax_number": "203-256-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD INTERVENTIONAL AND VASCULAR SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "ESPARZA",
        "authorized_official_first_name": "LORENZ",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "630-725-2764"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.