Organization Active NPI

Landmark Healthcare, P.C.

  • Cardiovascular Disease Physician
  • Brookfield, CT
National Provider Identifier
1831228857
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
017427 Issued in CT
Legal business name
LANDMARK HEALTHCARE, P.C.
Practice address
2 Old New Milford Rd
Brookfield, CT 06804-2426
Phone
(203) 775-6292
Fax
(203) 775-6296
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Authorized official

Name
Dr. Robert Marc Jarrett, MD
Title
President
Phone
(203) 775-6292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 017427 CT Primary

Addresses

Primary practice location

2 Old New Milford Rd
Brookfield, CT 06804-2426

Mailing address

2 Old New Milford Rd
Brookfield, CT 06804-2426
Phone (203) 775-6292

Other identifiers 1

IdentifierTypeStateIssuer
001174275MedicaidCT

National Provider Directory

National Provider Directory

Locations

2 Old New Milford Rd
Ste 2D
Brookfield, CT 06804
Phone (203) 775-6292

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1831228857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OLD NEW MILFORD RD",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042426",
            "telephone_number": "203-775-6292",
            "fax_number": "203-775-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OLD NEW MILFORD RD",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042426",
            "telephone_number": "203-775-6292",
            "fax_number": "203-775-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK HEALTHCARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "JARRETT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-775-6292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "017427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001174275",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.