Organization Active NPI

New Park Medical, LLC

  • Internal Medicine Physician
  • Hartford, CT
National Provider Identifier
1518284017
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
42715 Issued in CT
Legal business name
NEW PARK MEDICAL, LLC
Practice address
151 New Park Ave
Hartford, CT 06106-2170
Phone
(413) 364-8586
NPI assigned
Apr 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Authorized official

Name
Jose D Azocar, MD
Title
Physician / Owner
Phone
(413) 364-8586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 42715 CT Primary

Addresses

Primary practice location

151 New Park Ave
Hartford, CT 06106-2170

Mailing address

151 New Park Ave
Hartford, CT 06106-2170
Phone (413) 364-8586

National Provider Directory

National Provider Directory

Locations

151 New Park Ave
Hartford, CT 06106
Phone (860) 586-2300

450 S Main St
New Britain, CT 06051
Phone (203) 439-7059

74 Park Rd
Ste 2
West Hartford, CT 06119
Phone (860) 233-8023

904 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 721-0700

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1518284017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 NEW PARK AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062170",
            "telephone_number": "413-364-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 NEW PARK AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062170",
            "telephone_number": "413-364-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PARK MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "AZOCAR",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "413-364-8586",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "42715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.