Gastroenterology and Internal Medicine of Westport PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

018166 Issued in CT

Legal business name

GASTROENTEROLOGY AND INTERNAL MEDICINE OF WESTPORT PC

Practice address

131 Kings Highway North
Westport, CT 06880-2439

Phone

(203) 227-0805

Fax

(203) 227-0808

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Jerry Lee Greenburg, MDNPI 1417010695

Title

President

Phone

(203) 227-0805

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jerry Lee Greenburg, MD

  • Gastroenterology Physician
  • Westport, CT
  • NPI 1417010695
  NPD (past) Authorized official

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447464144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 KINGS HIGHWAY NORTH",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802439",
            "telephone_number": "203-227-0805",
            "fax_number": "203-227-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 KINGS HIGHWAY NORTH",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802439",
            "telephone_number": "203-227-0805",
            "fax_number": "203-227-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY AND INTERNAL MEDICINE OF WESTPORT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREENBURG",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-227-0805",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CT",
            "license": "018166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Galvan-Henkin, LLC
• Jessica Paula Gamache, LBA, BCBA
• Mitchell Seth Gandelman, MD
• Lindsay Gange, LPC
• David Garcia, RDN
• Alyssa Gatto, CCC-SLP
• Daniel Gazaille, DPT
• Debra Ann Geiger, EDD, PMHNP-BC, APRN
• Jonathan David Geller, MSW
• Marilyn R. Geni, DMD

• Gastroenterology Physician in Westport, CT
• Providers in Westport, CT by specialty
• Gastroenterology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.