Organization Active NPI

Kevin E. Conboy, MD

  • Cardiovascular Disease Physician
  • Greenwich, CT
National Provider Identifier
1538205372
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
KEVIN E. CONBOY, MD
Practice address
38 Lake Ave
Greenwich, CT 06830-4515
Phone
(203) 622-9102
Fax
(203) 622-0508
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Kevin E Conboy, M.D.
Title
Owner
Phone
(203) 622-9102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X CT Primary

Addresses

Primary practice location

38 Lake Ave
Greenwich, CT 06830-4515

Mailing address

38 Lake Ave
Greenwich, CT 06830-4515
Phone (203) 622-9102

National Provider Directory

National Provider Directory

Locations

38 Lake Ave
Greenwich, CT 06830
Phone (203) 622-9102

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1538205372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 LAKE AVE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304515",
            "telephone_number": "203-622-9102",
            "fax_number": "203-622-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 LAKE AVE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304515",
            "telephone_number": "203-622-9102",
            "fax_number": "203-622-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN E. CONBOY, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "CONBOY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-622-9102",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "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 Sep 10, 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.