Active NPI
Jutta Nemec
- Pediatrics Physician
- Old Greenwich, CT
National Provider Identifier
1841856721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 15789
- Practice address
- 9 Meadow PL
Old Greenwich, CT 06870-2114 - Phone
- (203) 637-3546
- NPI assigned
- May 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 15789 | CT | Primary |
Addresses
Primary practice location
9 Meadow PL
Old Greenwich, CT 06870-2114
Mailing address
9 Meadow PL.
N/a
Old Greenwich,, CT 06870-2114
Phone (203) 637-3546
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104909 | Other | AMERICAN ACADEMY OF PEDIATRICS | |
| 104909 | Other | AMERICAN ACADEMY OF |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15789 | CT | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557878400000",
"number": "1841856721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 MEADOW PL.",
"address_2": "N/A",
"city": "OLD GREENWICH,",
"state": "CT",
"postal_code": "068702114",
"telephone_number": "203-637-3546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 MEADOW PL",
"city": "OLD GREENWICH",
"state": "CT",
"postal_code": "068702114",
"telephone_number": "203-637-3546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEMEC",
"first_name": "JUTTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-15",
"last_updated": "2019-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "15789",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ACADEMY OF PEDIATRICS",
"identifier": "104909",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ACADEMY OF",
"identifier": "104909",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Old Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.