Individual provider Active NPI

Justin Fletcher, MD

  • Family Medicine Physician
  • Norwalk, CT
National Provider Identifier
1841640380
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
64033 Issued in CT
Practice address
49 Day St
Norwalk, CT 06854
Phone
(203) 854-9437
NPI assigned
Jun 15, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 64033 CT Primary

Addresses

Primary practice location

49 Day St
Norwalk, CT 06854

Mailing address

49 Day St
Norwalk, CT 06854-4901
Phone (203) 854-9292

Other practice location 1

49 Day St
Norwalk, CT 06854
Phone (203) 854-9437

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
I20240617000070 CT Practitioner - Family Practice 8123312980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Center IncGroup PAC ID 0547169138, 149 clinicians

Practice addresses (Care Compare)

85 Lafayette St
New Britain, CT 06051-1803
Phone (860) 224-3642

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64033CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center Inc Family Medicine CurrentSince Jun 6, 2024 Accepting new patients
Community Health Center Inc CurrentSince Jun 6, 2024 Accepting new patients
Community Health Center Inc. Family Medicine Past Accepting new patients

Locations

19 Grand St
Middletown, CT 06457
Phone (860) 323-0172

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1841640380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 DAY ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068544901",
            "telephone_number": "203-854-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 DAY ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "06854",
            "telephone_number": "203-854-9437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Day St",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "06854",
            "country_code": "US",
            "telephone_number": "203-854-9437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-15",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "64033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.