Organization Active NPI

Urological Associates of Bridgeport Prof.Corp.

  • Specialist
  • Trumbull, CT
National Provider Identifier
1619199452
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
14383 Issued in CT
Legal business name
UROLOGICAL ASSOCIATES OF BRIDGEPORT PROF.CORP.
Practice address
160 Hawley Lane
Trumbull, CT 06611-5300
Phone
(203) 375-3456
Fax
(203) 375-4456
NPI assigned
May 2, 2007
Last updated
Nov 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Authorized official

Name
Dr. Nicholas A Viner, MDNPI 1790717189
Title
Physician
Phone
(203) 375-3456

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
Specialist 174400000X 14383 CT Primary

Addresses

Primary practice location

160 Hawley Lane
Trumbull, CT 06611-5300

Mailing address

160 Hawley Lane
Trumbull, CT 06611-5300
Phone (203) 375-3456

Other identifiers 1

IdentifierTypeStateIssuer
CLPOL 0082OtherCTSTATE OF CT

National Provider Directory

National Provider Directory

Locations

52 Beach Rd
Ste 205
Fairfield, CT 06824
Phone (203) 255-6824

160 Hawley Ln
Trumbull, CT 06611
Phone (203) 375-3456

160 Hawley Ln
Ste 2
Trumbull, CT 06611
Phone (203) 375-3456

Practitioners & affiliated clinicians

Practitioners 4

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": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1619199452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 HAWLEY LANE",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115300",
            "telephone_number": "203-375-3456",
            "fax_number": "203-375-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 HAWLEY LANE",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115300",
            "telephone_number": "203-375-3456",
            "fax_number": "203-375-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGICAL ASSOCIATES OF BRIDGEPORT PROF.CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "VINER",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "203-375-3456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "14383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CT",
            "identifier": "CLPOL 0082",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.