Active NPI
Jeffrey Raymond Norwood, M.D.
- Internal Medicine Physician
- Meriden, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 039179
- Practice address
- 614 W Main St
Meriden, CT 06451-2767 - Phone
- (191) 777-4992
- NPI assigned
- May 3, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 158849-1 | NY | |
| Internal Medicine Physician | 207R00000X | 039179 | CT | Primary |
Addresses
Primary practice location
614 W Main St
Meriden, CT 06451-2767
Mailing address
614 W Main St
Meriden, CT 06451-2767
Phone (917) 774-9922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, RI, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039179 | CT | MD | Internal Medicine Physician |
| 158849-1 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Hospital-Laconia | Internal Medicine | Current | Accepting new patients |
| Emergency Physicians of Connecticut PC | Current | Accepting new patients | |
| Emergency Associates of Woonsocket LLC | Current | Accepting new patients | |
| South Beach Medical PC | Internal Medicine | Past | Accepting new patients |
Locations
64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142
250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711
15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060
80 Highland St
Laconia, NH 03246
Phone (603) 527-7100
238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464
66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051
66 W Gilbert St
Ste 100
Tinton Falls, NJ 07701
Phone (201) 795-8637
115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Waterbury, CT
- NPI 1902278906
-
- Emergency Medicine Physician
- Woonsocket, RI
- NPI 1912342528
-
- Internal Medicine Physician
- Far Rockaway, NY
- NPI 1699872499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618444800000",
"number": "1891961413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 W MAIN ST",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064512767",
"telephone_number": "917-774-9922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 W MAIN ST",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064512767",
"telephone_number": "191-777-4992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORWOOD",
"first_name": "JEFFREY",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-03",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "158849-1",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "039179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meriden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.