Clinic 21 of Connecticut LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

CLINIC 21 OF CONNECTICUT LLC

Practice address

497 Westport Ave
Norwalk, CT 06851-4411

Phone

(203) 276-4888

NPI assigned

Sep 15, 2014

Organization subpart

No

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

Authorized official

Name

Thomas J Zyniewicz II, DO

Title

President

Phone

(330) 493-4443

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy F Corvino, MD

  • Emergency Medicine Physician
  • Gastonia, NC
  • NPI 1245326156
  NPD (past)

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1730580325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182545",
            "telephone_number": "330-493-4443",
            "fax_number": "330-493-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 WESTPORT AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514411",
            "telephone_number": "203-276-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC 21 OF CONNECTICUT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "ZYNIEWICZ",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-493-4443",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Norwalk
• Megan Clancy, PH.D.
• Samara Diahann Clark
• Farahdine Clavien
• Joseph Cleary, MD
• Clinical Pathology Consultants of Southern Connecticut, LLC
• Clutch Physical Therapy PLLC
• Coastal Orthopaedics, PC
• Charles P Cochran Jr., M.D.
• Marie-Francoice Coffy-Michel

• Emergency Medicine Physician in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Emergency Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.