Individual provider Active NPI

Gary Thomas Yacono, M.D.

  • Internal Medicine Physician
  • New Fairfield, CT
National Provider Identifier
1740298322
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
026624 Issued in CT
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

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
026624CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southbury Medical Associates, LLP Internal Medicine PastSince Nov 1, 2020 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.

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.

Verify at the official NPI Registry.