Jeffrey Brent Pawlecki, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

032188 Issued in CT

Practice address

1 Elmcroft Rd
Stamford, CT 06926-0700

Phone

(203) 351-6434

NPI assigned

Mar 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. J. Brent Pawlecki Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497889638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 32ND ST",
            "address_2": "#15A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166306",
            "telephone_number": "212-889-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELMCROFT RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069260700",
            "telephone_number": "203-351-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLECKI",
        "first_name": "JEFFREY",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "032188",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "196778",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J.",
            "last_name": "PAWLECKI",
            "middle_name": "BRENT",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kwan Patton, LPC
• Luke Arthur Patton, PA-C
• Deborah G Pauls, LCSW
• Moyosore Paupau Mickens, LCSW
• Alison Pava, OTR/L
• Andrea Payo
• Grisell Viviana Paz, D.C
• Judith Pazmino, LPC
• Peace of Mind Psychological Services, LLC
• Pearl Dental of Stamford, PC

• Internal Medicine Physician in Stamford, CT
• Providers in Stamford, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.