Kenneth F. Marici, MD, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036520 Issued in CT

Legal business name

KENNETH F. MARICI, MD, PC

Practice address

2 Old Park Lane Rd Ste 1
New Milford, CT 06776-2561

Phone

(860) 354-5511

Fax

(860) 350-3122

NPI assigned

Dec 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth F Marici, M.D.NPI 1568414993

Title

President

Phone

(860) 354-5511

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 2

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

• Kenneth F Marici, MD

  • Internal Medicine Physician
  • New Milford, CT
  • NPI 1568414993
  Medicare reassignment Care Compare group NPD Authorized official
• Victoria Tofield

  • Family Nurse Practitioner
  • Oakville, CT
  • NPI 1760924237
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1821270513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OLD PARK LANE RD STE 1",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067762561",
            "telephone_number": "860-354-5511",
            "fax_number": "860-350-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OLD PARK LANE RD STE 1",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067762561",
            "telephone_number": "860-354-5511",
            "fax_number": "860-350-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH F. MARICI, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "MARICI",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-354-5511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "036520",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "001512",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001365205",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerard Daniel Kane, MSW, C-CATODSW, LADC
• Lee Steven Kaplan, D.C.
• Kate Reed Tyler, LCSW, LLC
• Preetkamal Kaur
• Kateland Heidi Kelly, PA-C
• Kathryn Ann Kerins
• Jennifer Kerr, LMFT
• Magdi Khalil, M.D.
• Tawfeek Rashad Khan, PHARMD
• Arthur H. Klein, D.C.

• Internal Medicine Physician in New Milford, CT
• Providers in New Milford, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.