NPIMap

Organization Active NPI

Geraldine Marrocco LLC

Doing business as primary care practitioners of fairfield county

  • Internal Medicine Physician
  • Trumbull, CT
National Provider Identifier
1487376141
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GERALDINE MARROCCO LLC
Doing business as
primary care practitioners of fairfield county
Practice address
6515 Main St
Trumbull, CT 06611-1354
Phone
(203) 576-1737
Fax
(203) 334-3841
NPI assigned
Sep 19, 2022
Last updated
Sep 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Authorized official

Name
Geraldine Marrocco, APRNNPI 1083688683
Title
Owner
Phone
(203) 576-1737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

6515 Main St
Trumbull, CT 06611-1354

Mailing address

6515 Main St
Trumbull, CT 06611-1354
Phone (203) 576-1737

Other names 1

  • primary care practitioners of fairfield county Doing business as

National Provider Directory

National Provider Directory

Locations

6515 Main St
Trumbull, CT 06611
Phone (203) 268-9114

6515 Main St
#1A
Trumbull, CT 06611
Phone (203) 576-1737

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1487376141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 MAIN ST",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111354",
            "telephone_number": "203-576-1737",
            "fax_number": "203-334-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 MAIN ST",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111354",
            "telephone_number": "203-576-1737",
            "fax_number": "203-334-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALDINE MARROCCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "MARROCCO",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-576-1737",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "primary care practitioners of fairfield county",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trumbull, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.