Active NPI
Veronica Marer, MD
- Internal Medicine Physician
- Woodbridge, CT
National Provider Identifier
1659389526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 1187633
- Practice address
- 264 Amity Rd
Ste 101
Woodbridge, CT 06525 - Phone
- (203) 397-2227
- Fax
- (203) 389-9313
- NPI assigned
- Aug 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 1187633 | CT | Primary |
Addresses
Primary practice location
264 Amity Rd
Ste 101
Woodbridge, CT 06525
Mailing address
264 Amity Rd
Ste 101
Woodbridge, CT 06525
Phone (203) 397-2227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1187633 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1187633 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaylord Hospital, Inc. | Current | Accepting new patients |
Locations
50 Gaylord Farm Rd
Wallingford, CT 06492
Phone (203) 679-3553
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1659389526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264 AMITY RD",
"address_2": "STE 101",
"city": "WOODBRIDGE",
"state": "CT",
"postal_code": "06525",
"telephone_number": "203-397-2227",
"fax_number": "203-389-9313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "264 AMITY RD",
"address_2": "STE 101",
"city": "WOODBRIDGE",
"state": "CT",
"postal_code": "06525",
"telephone_number": "203-397-2227",
"fax_number": "203-389-9313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARER",
"first_name": "VERONICA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "1187633",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1187633",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.