NPIMap

Organization Active NPI

Family Medicine Associates of Stamford, P.C.

  • Family Medicine Physician
  • Stamford, CT
National Provider Identifier
1780791822
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICINE ASSOCIATES OF STAMFORD, P.C.
Practice address
1450 Washington Blvd
Suite 103
Stamford, CT 06902-2451
Phone
(203) 348-2937
Fax
(203) 348-1968
NPI assigned
Aug 24, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. John Michael Greeley, M.D.NPI 1083621320
Title
President
Phone
(203) 348-2937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X CT Primary

Addresses

Primary practice location

1450 Washington Blvd
Suite 103
Stamford, CT 06902-2451

Mailing address

1450 Washington Blvd
Suite 103
Stamford, CT 06902-2451
Phone (203) 348-2937

Other identifiers 1

IdentifierTypeStateIssuer
1223692MedicaidCT

National Provider Directory

National Provider Directory

Locations

1450 Washington Blvd
#103
Stamford, CT 06902
Phone (203) 324-2128

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1780791822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 WASHINGTON BLVD",
            "address_2": "SUITE 103",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022451",
            "telephone_number": "203-348-2937",
            "fax_number": "203-348-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 WASHINGTON BLVD",
            "address_2": "SUITE 103",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022451",
            "telephone_number": "203-348-2937",
            "fax_number": "203-348-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE ASSOCIATES OF STAMFORD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GREELEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-348-2937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1223692",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.