Organization Active NPI

Putnam Gynecology & Obstetrics of Greenwich PC

  • Obstetrics & Gynecology Physician
  • Greenwich, CT
National Provider Identifier
1528128741
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
PUTNAM GYNECOLOGY & OBSTETRICS OF GREENWICH PC
Practice address
55 Holly Hill LN
Suite 130
Greenwich, CT 06830-6074
Phone
(203) 622-0303
Fax
(203) 489-3980
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Ms. Christine A Balascio
Title
Practice Manager
Phone
(203) 622-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

55 Holly Hill LN
Suite 130
Greenwich, CT 06830-6074

Mailing address

55 Holly Hill LN
Suite 130
Greenwich, CT 06830-6074
Phone (203) 622-0303

National Provider Directory

National Provider Directory

Locations

55 Holly Hill Ln
Ste 130
Greenwich, CT 06830
Phone (203) 210-2880

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1528128741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HOLLY HILL LN",
            "address_2": "SUITE 130",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306074",
            "telephone_number": "203-622-0303",
            "fax_number": "203-489-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HOLLY HILL LN",
            "address_2": "SUITE 130",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306074",
            "telephone_number": "203-622-0303",
            "fax_number": "203-489-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM GYNECOLOGY & OBSTETRICS OF GREENWICH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "BALASCIO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "203-622-0303",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.