Active NPI
John Byrne Garvey, MD
- Internal Medicine Physician
- New London, CT
National Provider Identifier
1891899464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 039227
- Practice address
- 15 Mohegan Ave
New London, CT 06320-8100 - Phone
- (860) 437-3611
- Fax
- (860) 437-1801
- NPI assigned
- Sep 12, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 039227 | CT | Primary |
Addresses
Primary practice location
15 Mohegan Ave
New London, CT 06320-8100
Mailing address
153 High St Apt 18
Westerly, RI 02891-1787
Phone (401) 596-1306
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039227 | CT | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891899464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 HIGH ST APT 18",
"city": "WESTERLY",
"state": "RI",
"postal_code": "028911787",
"telephone_number": "401-596-1306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 MOHEGAN AVE",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063208100",
"telephone_number": "860-437-3611",
"fax_number": "860-437-1801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARVEY",
"first_name": "JOHN",
"middle_name": "BYRNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "039227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New London, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.