Joseph Botta MD & Associates LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

040605 Issued in CT

Legal business name

JOSEPH BOTTA MD & ASSOCIATES LLC

Practice address

150 Ware Rd
Dayville, CT 06241-1126

Phone

(860) 779-5093

Fax

(860) 779-5095

NPI assigned

Feb 25, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Joseph J Botta, M.D.NPI 1831105360

Title

Physician/Owner

Phone

(860) 779-5093

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 3

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

• Joseph John Botta, MD

  • Internal Medicine Physician
  • Putnam, CT
  • NPI 1831105360
  Medicare reassignment Care Compare group NPD Authorized official
• Ronald W. Klare, MD

  • Internal Medicine Physician
  • Putnam, CT
  • NPI 1760498539
  Medicare reassignment Care Compare group NPD
• David Candow, MD

  • Internal Medicine Physician
  • East Greenwich, RI
  • NPI 1457365363

  CT

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1659511046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WARE RD",
            "city": "DAYVILLE",
            "state": "CT",
            "postal_code": "062411126",
            "telephone_number": "860-779-5093",
            "fax_number": "860-779-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WARE RD",
            "city": "DAYVILLE",
            "state": "CT",
            "postal_code": "062411126",
            "telephone_number": "860-779-5093",
            "fax_number": "860-779-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH BOTTA MD & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "BOTTA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "860-779-5093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "040605",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CT",
            "license": "040605",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "010040605CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V2749",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1406059",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah J Johnson, MSW
• Michael Scott Johnson, MSW
• William Roy Karl Johnson, MD
• Lauren Johnston, LMT
• Mena Johny
• Tera Juszczyk, MSW
• Nancy Kelly, LCSW
• Marybeth L Kerr, MSW
• Killingly Board of Ed
• Killingly Dental Care, LLC

• Internal Medicine Physician in Dayville, CT
• Providers in Dayville, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.