Mark Dam, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

033665 Issued in CT

Practice address

40 Heights Rd
Darien, CT 06820-4132

Phone

(203) 662-8900

Fax

(203) 662-8906

NPI assigned

Jul 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1720005507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 HEIGHTS RD",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204132",
            "telephone_number": "203-662-8900",
            "fax_number": "203-662-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 HEIGHTS RD",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204132",
            "telephone_number": "203-662-8900",
            "fax_number": "203-662-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAM",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "033665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liliana Cullen
• Nancy Curcio, RPH
• Mary Curley, LCSW
• Janet S D'Arcangelo, PHD, APRN, BC-PMHCS
• Sherry Minniti D'Elia, LCSW
• Darien Counseling and Coaching
• Darien Dental Arts
• Darien EMS Post 53 Inc
• Darien Immediate Medical Care LLC
• Darien Medical Arts LLC

• Internal Medicine Physician in Darien, CT
• Providers in Darien, 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 Nov 5, 2021; 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.

Verify at the official NPI Registry.