Organization Active NPI

Greenwich Walk-in Medical Care

  • Clinic/Center
  • Riverside, CT
National Provider Identifier
1598069007
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
027132 Issued in CT
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
Last updated
Mar 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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.NPI 1467516161
Title
Medical Director
Phone
(203) 698-1419

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Directory

Locations

1200 E Putnam Ave
Riverside, CT 06878
Phone (203) 637-0057

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI 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.

Verify at the official NPI Registry.