NPIMap

Organization Active NPI

Stamford Nephrology, P.C.

  • Nephrology Physician
  • Stamford, CT
National Provider Identifier
1609800606
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
STAMFORD NEPHROLOGY, P.C.
Practice address
30 Commerce Rd
Stamford, CT 06902-4550
Phone
(203) 324-7666
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Tamiko Fleming
Title
Office Manager
Phone
(203) 324-7666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

30 Commerce Rd
Stamford, CT 06902-4550

Mailing address

30 Commerce Rd
Stamford, CT 06902-4550
Phone (203) 324-7666

Other identifiers 3

IdentifierTypeStateIssuer
000129151MedicaidCT
0012891040MedicaidCT
001394692MedicaidCT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1609800606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 COMMERCE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024550",
            "telephone_number": "203-324-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 COMMERCE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024550",
            "telephone_number": "203-324-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAMFORD NEPHROLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "TAMIKO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "203-324-7666"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000129151",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012891040",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001394692",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.