Organization Active NPI

Gynecology & Obstetrics of Wilton-Westport P.C.

  • Specialist
  • Westport, CT
National Provider Identifier
1679734842
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
18631 Issued in CT
Legal business name
GYNECOLOGY & OBSTETRICS OF WILTON-WESTPORT P.C.
Practice address
156 Kings Hwy N
Westport, CT 06880-2440
Phone
(203) 226-1243
Fax
(203) 221-5071
NPI assigned
Jun 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Authorized official

Name
Dr. Marc Philip Storch, MD
Title
President
Phone
(203) 226-1243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 18631 CT Primary

Addresses

Primary practice location

156 Kings Hwy N
Westport, CT 06880-2440

Mailing address

156 Kings Hwy N
Westport, CT 06880-2440
Phone (203) 226-1243

Other identifiers 1

IdentifierTypeStateIssuer
1186311MedicaidCT

National Provider Directory

National Provider Directory

Locations

156 Kings Hwy N
Westport, CT 06880
Phone (203) 226-1243

195 Danbury Rd
Ste 210
Wilton, CT 06897
Phone (203) 807-4544

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1679734842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 KINGS HWY N",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802440",
            "telephone_number": "203-226-1243",
            "fax_number": "203-221-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 KINGS HWY N",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802440",
            "telephone_number": "203-226-1243",
            "fax_number": "203-221-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYNECOLOGY & OBSTETRICS OF WILTON-WESTPORT P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "STORCH",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-226-1243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "18631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1186311",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.