The Greenwich Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

THE GREENWICH MEDICAL GROUP

Practice address

75 Holly Hill LN
Greenwich, CT 06830-6098

Phone

(203) 869-6960

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Stuart McCalley, MDNPI 1588635718

Title

President

Phone

(203) 869-6960

Specialties & licenses 4

Addresses

Other identifiers 4

Practitioners 4

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

• Stuart W McCalley, M.D.

  • Pulmonary Disease Physician
  • Belfast, ME
  • NPI 1588635718

  Internal Medicine

  NPD Authorized official
• Anthony A Alleva, MD

  • Internal Medicine Physician
  • Greenwich, CT
  • NPI 1518938778
  NPD
• Chetan Vaid, M.D

  • Internal Medicine Physician
  • Greenwich, CT
  • NPI 1578534723
  NPD
• Gail Elizabeth Morandi Fennell, M.D.

  • Internal Medicine Physician
  • Rye Brook, NY
  • NPI 1053382978
  NPD

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1558436766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HOLLY HILL LN",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306098",
            "telephone_number": "203-869-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HOLLY HILL LN",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306098",
            "telephone_number": "203-869-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GREENWICH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "MCCALLEY",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-869-6960",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "001163",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004393948",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "C30447",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO GROUP NUMBER",
            "identifier": "471501",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO GROUP NUMBER",
            "identifier": "8170815",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen M Temple, M.S.
• John Tenbusch, LCSW
• Thai Serenity Spa LLC
• The Behavior Therapy Group, LLC
• The Children'S Medical Group of Greenwich, PC
• The Greenwich Practice
• The Metabolic Dietitian PLLC
• The Plastic and Reconstructive Surgery Group, PC
• The Westchester Medical Group PC
• Ruth Sandra Theaman, LCSW-R

• Internal Medicine Physician in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.