Active NPI
Ayala Danzig, M.D.
- Psychiatry Physician
- Norwich, CT
National Provider Identifier
1760916878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 63760
- Practice address
- 326 Washington St
Norwich, CT 06360-2740 - Phone
- (860) 823-6322
- NPI assigned
- Apr 14, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 63760 | CT | Primary |
Addresses
Primary practice location
326 Washington St
Norwich, CT 06360-2740
Mailing address
4141 41St St
2P
Sunnyside, NY 11104-3260
Other practice location 1
550 First Ave
NYU Langone Medical Center
New York, NY 10016
Phone (212) 263-5506
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565913600000",
"number": "1760916878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4141 41ST ST",
"address_2": "2P",
"city": "SUNNYSIDE",
"state": "NY",
"postal_code": "111043260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 WASHINGTON ST",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602740",
"telephone_number": "860-823-6322"
}
],
"practiceLocations": [
{
"address_1": "550 First Ave",
"address_2": "NYU Langone Medical Center",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10016",
"country_code": "US",
"telephone_number": "212-263-5506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANZIG",
"first_name": "AYALA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-14",
"last_updated": "2019-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "63760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.