Active NPI
Robert S Galvin, MD
- Internal Medicine Physician
- Fairfield, CT
National Provider Identifier
1508215377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 034938
- Practice address
- 376 Hillside Rd
Fairfield, CT 06824-2140 - Phone
- (203) 482-5597
- NPI assigned
- Jun 12, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 034938 | CT | Primary |
Addresses
Primary practice location
376 Hillside Rd
Fairfield, CT 06824-2140
Mailing address
376 Hillside Rd
Fairfield, CT 06824-2140
Phone (203) 482-5597
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
| License | State | Type | Specialty |
|---|---|---|---|
| 034938 | CT | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465689600000",
"number": "1508215377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "376 HILLSIDE RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068242140",
"telephone_number": "203-482-5597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "376 HILLSIDE RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068242140",
"telephone_number": "203-482-5597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALVIN",
"first_name": "ROBERT",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-12",
"last_updated": "2016-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "034938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.