Active NPI
Gary Thomas Yacono, M.D.
- Internal Medicine Physician
- New Fairfield, CT
National Provider Identifier
1740298322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 026624
- Practice address
- 130 State Route 37
New Fairfield, CT 06812-4013 - Phone
- (203) 746-6000
- Fax
- (203) 746-0155
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 026624 | CT | Primary |
Addresses
Primary practice location
130 State Route 37
New Fairfield, CT 06812-4013
Mailing address
130 State Route 37
New Fairfield, CT 06812-4013
Phone (203) 746-6000
Other practice location 1
79 Sand Pit Rd
Danbury, CT 06810-4005
Phone (203) 749-5700
Other practice location 2
96 State Route 37
New Fairfield, CT 06812-4034
Phone (203) 746-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026624 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southbury Medical Associates, LLP | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Southbury, CT
- NPI 1407984222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1740298322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 STATE ROUTE 37",
"city": "NEW FAIRFIELD",
"state": "CT",
"postal_code": "068124013",
"telephone_number": "203-746-6000",
"fax_number": "203-746-0155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 STATE ROUTE 37",
"city": "NEW FAIRFIELD",
"state": "CT",
"postal_code": "068124013",
"telephone_number": "203-746-6000",
"fax_number": "203-746-0155"
}
],
"practiceLocations": [
{
"address_1": "79 Sand Pit Rd",
"address_purpose": "LOCATION",
"city": "Danbury",
"state": "CT",
"postal_code": "068104005",
"country_code": "US",
"telephone_number": "203-749-5700",
"fax_number": "203-830-8088",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "96 State Route 37",
"address_purpose": "LOCATION",
"city": "New Fairfield",
"state": "CT",
"postal_code": "068124034",
"country_code": "US",
"telephone_number": "203-746-6000",
"fax_number": "203-746-0155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YACONO",
"first_name": "GARY",
"middle_name": "THOMAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "026624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.