Individual provider Active NPI

Richard J Garvey, MD

  • Surgery Physician
  • Bridgeport, CT
National Provider Identifier
1841350964
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
021070 Issued in CT
Practice address
310 Mill Hill Ave
Bridgeport, CT 06610-2863
Phone
(203) 366-3211
Fax
(203) 366-1837
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 021070 CT Primary

Addresses

Primary practice location

310 Mill Hill Ave
Bridgeport, CT 06610-2863

Mailing address

310 Mill Hill Ave
Bridgeport, CT 06610-2863
Phone (203) 366-3211

Other identifiers 1

IdentifierTypeStateIssuer
001210707MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070420000468 CT Practitioner - General Surgery 0547365405 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
021070CTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Nov 1, 2024 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Surgery CurrentSince Nov 1, 2024 Accepting new patients
Northeast Medical Group, Inc. Surgery CurrentSince Mar 1, 2007 Accepting new patients
Yale University Surgery Past Accepting new patients

Locations

310 Mill Hill Ave
Bridgeport, CT 06610
Phone (203) 366-3211

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

3272 Main St
Stratford, CT 06614
Phone (203) 380-3910

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

115 Technology Dr
Unit CP101
Trumbull, CT 06611
Phone (203) 372-7200

Organizations & group practices 4

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1841350964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MILL HILL AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102863",
            "telephone_number": "203-366-3211",
            "fax_number": "203-366-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MILL HILL AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102863",
            "telephone_number": "203-366-3211",
            "fax_number": "203-366-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARVEY",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "021070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001210707",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.