Active NPI
Internal Medicine Associates of Norwich LLC
- Nephrology Physician
- Norwich, CT
National Provider Identifier
1679776876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 034177
- Legal business name
- INTERNAL MEDICINE ASSOCIATES OF NORWICH LLC
- Practice address
- 119 Sachem St
Norwich, CT 06360-4128 - Phone
- (860) 889-0222
- Fax
- (860) 889-7997
- NPI assigned
- Jun 6, 2007
- Last updated
- Jul 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Altaf Rasool
- Title
- Owner
- Phone
- (860) 889-0222
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 034177 | CT | |
| Nephrology Physician | 207RN0300X | 034177 | CT | Primary |
Addresses
Primary practice location
119 Sachem St
Norwich, CT 06360-4128
Mailing address
119 Sachem St
Norwich, CT 06360-4128
Phone (860) 889-0222
National Provider Directory
National Provider DirectoryLocations
12 Case St
Ste 305
Norwich, CT 06360
Phone (203) 598-8252
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Cardiovascular Disease Physician
- Norwich, CT
- NPI 1265489959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184889600000",
"number": "1679776876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 SACHEM ST",
"city": "NORWICH",
"state": "CT",
"postal_code": "063604128",
"telephone_number": "860-889-0222",
"fax_number": "860-889-7997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 SACHEM ST",
"city": "NORWICH",
"state": "CT",
"postal_code": "063604128",
"telephone_number": "860-889-0222",
"fax_number": "860-889-7997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERNAL MEDICINE ASSOCIATES OF NORWICH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-06",
"last_updated": "2007-07-20",
"status": "A",
"authorized_official_last_name": "RASOOL",
"authorized_official_first_name": "ALTAF",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "860-889-0222",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CT",
"license": "034177",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "CT",
"license": "034177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.