Active NPI
Endocrinology of Fairfield County, LLC
- Endocrinology, Diabetes & Metabolism Physician
- Fairfield, CT
National Provider Identifier
1841652641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- ENDOCRINOLOGY OF FAIRFIELD COUNTY, LLC
- Practice address
- 134 Round Hill Rd
Fairfield, CT 06824-5166 - Phone
- (203) 872-4560
- NPI assigned
- Mar 22, 2016
- Last updated
- Apr 1, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Duben, MD
- Title
- Owner
- Phone
- (203) 872-4560
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | NU | Primary |
Addresses
Primary practice location
134 Round Hill Rd
Fairfield, CT 06824-5166
Mailing address
346 Stanwich Rd
Greenwich, CT 06830-3530
Phone (203) 872-4560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
134 Round Hill Rd
Ste 3
Fairfield, CT 06824
Phone (203) 872-4560
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Fairfield, CT
- NPI 1972523959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459468800000",
"number": "1841652641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 STANWICH RD",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068303530",
"telephone_number": "203-872-4560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 ROUND HILL RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068245166",
"telephone_number": "203-872-4560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDOCRINOLOGY OF FAIRFIELD COUNTY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-22",
"last_updated": "2016-04-01",
"status": "A",
"authorized_official_last_name": "DUBEN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-872-4560",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.