Oksana Kloyzner,MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

39765 Issued in CT

Legal business name

OKSANA KLOYZNER,MD LLC

Practice address

701 Cottage Grove Rd Ste F
Bloomfield, CT 06002-3080

Phone

(860) 242-4000

Fax

(860) 243-8286

NPI assigned

Jul 25, 2017

Organization subpart

No

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

Authorized official

Name

Oksana Kloyzner, MD

Title

Owner-Sole Proprietor

Phone

(860) 242-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502755200000",
    "number": "1669995247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 COTTAGE GROVE RD STE F",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COTTAGE GROVE RD STE F",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023080",
            "telephone_number": "860-242-4000",
            "fax_number": "860-243-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKSANA KLOYZNER,MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2017-08-15",
        "status": "A",
        "authorized_official_last_name": "KLOYZNER",
        "authorized_official_first_name": "OKSANA",
        "authorized_official_title_or_position": "OWNER-SOLE PROPRIETOR",
        "authorized_official_telephone_number": "860-242-4000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "39765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001397654",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Bloomfield, CT
• Providers in Bloomfield, 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 Aug 15, 2017; 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.