Active NPI
Irena Veksler-Offengenden, M.D.
- Allergy & Immunology Physician
- Fairfield, CT
National Provider Identifier
1508807603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 043202
- Practice address
- 55 Walls Dr
Ste. 405
Fairfield, CT 06824-5163 - Phone
- (203) 259-7070
- Fax
- (203) 254-7402
- NPI assigned
- Jun 9, 2006
- Last updated
- May 2, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 043202 | CT | Primary |
Addresses
Primary practice location
55 Walls Dr
Ste. 405
Fairfield, CT 06824-5163
Mailing address
55 Walls Dr
Ste. 405
Fairfield, CT 06824-5163
Phone (203) 259-7070
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043202 | CT | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MVC CT | Past | Accepting new patients |
Organizations & group practices 1
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": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304294400000",
"number": "1508807603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WALLS DR",
"address_2": "STE. 405",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068245163",
"telephone_number": "203-259-7070",
"fax_number": "203-254-7402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 WALLS DR",
"address_2": "STE. 405",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068245163",
"telephone_number": "203-259-7070",
"fax_number": "203-254-7402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEKSLER-OFFENGENDEN",
"first_name": "IRENA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2011-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "CT",
"license": "043202",
"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 May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.