John P. Nowicki M.D. P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

019703CT Issued in CT

Legal business name

JOHN P. NOWICKI M.D. P.C.

Practice address

2044 Bridgeport Ave
Milford, CT 06460-4633

Phone

(203) 874-0248

Fax

(203) 874-7504

NPI assigned

Sep 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John Peter Nowicki, M.D.

Title

Owner/M.D.

Phone

(203) 874-0248

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1720236367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 BRIDGEPORT AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604633",
            "telephone_number": "203-874-0248",
            "fax_number": "203-874-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 BRIDGEPORT AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604633",
            "telephone_number": "203-874-0248",
            "fax_number": "203-874-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P. NOWICKI M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "NOWICKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER/M.D.",
        "authorized_official_telephone_number": "203-874-0248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "019703CT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET OF CONNECTICUT",
            "identifier": "000384",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001197037",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS AND BLUE SHIELD",
            "identifier": "010019703CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Jezierny
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• Jkiv, LLC
• Joanne L Montgomery, LLC
• Johanna D. Von Hollinger, Ma, LMFT, LLC
• Rofina Johnkennedy, MD
• Anne M Johnson, LCSW
• Faythe Johnson
• Karen Johnson, LCSW
• Michael Johnson

• Internal Medicine Physician in Milford, CT
• Providers in Milford, 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 Sep 8, 2008; 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.