Individual provider Active NPI

Monica Ahern Lockwood, MD

  • Internal Medicine Physician
  • Bridgeport, CT
National Provider Identifier
1487834917
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
032821 Issued in CT
Practice address
2800 Main St
Bridgeport, CT 06606-4201
Phone
(203) 576-6133
NPI assigned
Nov 13, 2007
Last updated
Feb 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 032821 CT Primary

Addresses

Primary practice location

2800 Main St
Bridgeport, CT 06606-4201

Mailing address

2890 Main St
Ste 2a
Stratford, CT 06614-4980
Phone (203) 259-7442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131105000562 CT Practitioner - Internal Medicine 4082849732 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
032821CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health, Inc. Internal Medicine CurrentSince Sep 1, 2013 Accepting new patients
St. Vincents Urgent Care LLC Internal Medicine CurrentSince Apr 1, 2015 Accepting new patients
Hartford Hospital Internal Medicine CurrentSince Apr 15, 2020 Accepting new patients
South-West Community Health Center, Inc CurrentSince Oct 28, 2019 Accepting new patients
Hartford Hospital CurrentSince Apr 15, 2020 Accepting new patients
St. Vincents Urgent Care LLC Internal Medicine CurrentSince Apr 1, 2015 Accepting new patients
St. Vincent's Multispecialty Group Past Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

46 Albion St
Bridgeport, CT 06605
Phone (203) 332-3155

510 Clinton Ave
Bridgeport, CT 06605
Phone (203) 366-4000

762 Lindley St
Bridgeport, CT 06606
Phone (203) 576-5131

7365 Main St
Ste 7
Stratford, CT 06614
Phone (203) 696-3505

Interoperability endpoints

  • Direct secure messaging: mlockwood577610@direct.ochin.org
  • Direct secure messaging: monica.lockwood.1@16244.direct.athenahealth.com
  • Direct secure messaging: monicaj.lockwood@xdr.hhchealthdirect.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1487834917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2890 MAIN ST",
            "address_2": "STE 2A",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144980",
            "telephone_number": "203-259-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064201",
            "telephone_number": "203-576-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHERN LOCKWOOD",
        "first_name": "MONICA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "032821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.