Active NPI
Greenwich Walk-in Medical Care
- Clinic/Center
- Riverside, CT
National Provider Identifier
1598069007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 027132
- Legal business name
- GREENWICH WALK-IN MEDICAL CARE
- Practice address
- 1200 E Putnam Ave
Riverside, CT 06878-1430 - Phone
- (203) 698-1419
- Fax
- (203) 698-2291
- NPI assigned
- Dec 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Philip Gabriel, M.D.
- Title
- Medical Director
- Phone
- (203) 698-1419
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 027132 | CT | Primary |
Addresses
Primary practice location
1200 E Putnam Ave
Riverside, CT 06878-1430
Mailing address
1200 E Putnam Ave
Riverside, CT 06878-1430
Phone (203) 698-1419
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331683200000",
"number": "1598069007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E PUTNAM AVE",
"city": "RIVERSIDE",
"state": "CT",
"postal_code": "068781430",
"telephone_number": "203-698-1419",
"fax_number": "203-698-2291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E PUTNAM AVE",
"city": "RIVERSIDE",
"state": "CT",
"postal_code": "068781430",
"telephone_number": "203-698-1419",
"fax_number": "203-698-2291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENWICH WALK-IN MEDICAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-28",
"last_updated": "2012-03-14",
"status": "A",
"authorized_official_last_name": "GABRIEL",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "PHILIP",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "203-698-1419",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CT",
"license": "027132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.