Individual provider Active NPI

Robert Francis Bottone, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • New Canaan, CT
National Provider Identifier
1457546442
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
041036 Issued in CT
Practice address
156 Cherry St
Second Floor
New Canaan, CT 06840-5524
Phone
(203) 972-5000
Fax
(203) 972-6060
NPI assigned
Sep 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 041036 CT Primary

Addresses

Primary practice location

156 Cherry St
Second Floor
New Canaan, CT 06840-5524

Mailing address

55 Beacon Hill Rd
New Canaan, CT 06840-4919
Phone (203) 972-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
041036CTMDOtolaryngology/Facial Plastic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1457546442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BEACON HILL RD",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068404919",
            "telephone_number": "203-972-5000",
            "fax_number": "203-972-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 CHERRY ST",
            "address_2": "SECOND FLOOR",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068405524",
            "telephone_number": "203-972-5000",
            "fax_number": "203-972-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTONE",
        "first_name": "ROBERT",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CT",
            "license": "041036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Canaan, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.