Integrated Medical of Danbury, LLC

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

031959 Issued in CT

Legal business name

INTEGRATED MEDICAL OF DANBURY, LLC

Practice address

46 Mill Plain Rd
Danbury, CT 06811-5140

Phone

(203) 297-6120

Fax

(203) 297-6122

NPI assigned

Aug 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Michael Lance Gerstenfeld, M.D.NPI 1740311208

Title

Owner/Manager

Phone

(203) 297-6120

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Michael Lance Gerstenfeld, M.D.

  • Internal Medicine Physician
  • Danbury, CT
  • NPI 1740311208

  Neuromusculoskeletal Medicine, Sports Medicine

  Medicare reassignment NPD Authorized official
• Michele Daneen Gerstenfeld, N.D.

  • Naturopath
  • Danbury, CT
  • NPI 1144535014
  NPD (past)

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1649403320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 MILL PLAIN RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068115140",
            "telephone_number": "203-297-6120",
            "fax_number": "203-297-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 MILL PLAIN RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068115140",
            "telephone_number": "203-297-6120",
            "fax_number": "203-297-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICAL OF DANBURY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-28",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "GERSTENFELD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "203-297-6120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CT",
            "license": "031959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mohammad Islam, M.D.
• Muhammad Hamad Islam, M.D.

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Danbury, CT
• Providers in Danbury, CT by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.