Organization Active NPI

Private Medical Connecticut PC

  • Internal Medicine Physician
  • Greenwich, CT
National Provider Identifier
1457298374
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIVATE MEDICAL CONNECTICUT PC
Practice address
50 Old Field Point Rd FL 3
Greenwich, CT 06830-6157
Phone
(203) 489-7333
NPI assigned
Apr 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Jordan Shlain, MD
Title
Managing Partner/Owner
Phone
(415) 830-3090

Specialties & licenses 1

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

Addresses

Primary practice location

50 Old Field Point Rd FL 3
Greenwich, CT 06830-6157

Mailing address

3580 California St Ste 101
San Francisco, CA 94118-1716
Phone (415) 830-3090

National Provider Directory

National Provider Directory

Locations

50 Old Field Point Rd
Fl 3
Greenwich, CT 06830
Phone (203) 489-7333

NPI Registry JSON

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

{
    "created_epoch": "1777420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1457298374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 CALIFORNIA ST STE 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181716",
            "telephone_number": "415-830-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 OLD FIELD POINT RD FL 3",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306157",
            "telephone_number": "203-489-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE MEDICAL CONNECTICUT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "SHLAIN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "MANAGING PARTNER/OWNER",
        "authorized_official_telephone_number": "415-830-3090",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.