Active NPI
Sekerak M.D. & Tristine M.D., PC
- Internal Medicine Physician
- Trumbull, CT
National Provider Identifier
1497861140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SEKERAK M.D. & TRISTINE M.D., PC
- Practice address
- 5520 Park Ave
Suite208
Trumbull, CT 06611-3463 - Phone
- (203) 371-8000
- Fax
- (203) 371-8006
- NPI assigned
- Aug 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard John Sekerak, M.D.
- Title
- Partner
- Phone
- (203) 371-8000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
5520 Park Ave
Suite208
Trumbull, CT 06611-3463
Mailing address
5520 Park Ave
Suite 208
Trumbull, CT 06611-3463
Phone (203) 371-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004205193 | Medicaid | CT |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Milford, CT
- NPI 1780790584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252540800000",
"number": "1497861140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5520 PARK AVE",
"address_2": "SUITE 208",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066113463",
"telephone_number": "203-371-8000",
"fax_number": "203-371-8006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5520 PARK AVE",
"address_2": "SUITE208",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066113463",
"telephone_number": "203-371-8000",
"fax_number": "203-371-8006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEKERAK M.D. & TRISTINE M.D., PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-22",
"last_updated": "2009-09-10",
"status": "A",
"authorized_official_last_name": "SEKERAK",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "203-371-8000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004205193",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
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 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.