Amit Rastogi, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036862 Issued in CT

Practice address

112 Quarry Rd
Suite 220
Trumbull, CT 06611-4816

Phone

(203) 374-6162

Fax

(203) 374-1549

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1871547588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 QUARRY RD",
            "address_2": "SUITE 220",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114816",
            "telephone_number": "203-374-6162",
            "fax_number": "203-374-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 QUARRY RD",
            "address_2": "SUITE 220",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114816",
            "telephone_number": "203-374-6162",
            "fax_number": "203-374-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASTOGI",
        "first_name": "AMIT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "036862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001368621",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Trumbull, CT
• Providers in Trumbull, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.