Individual provider Active NPI

Jeffrey Raymond Norwood, M.D.

  • Internal Medicine Physician
  • Meriden, CT
National Provider Identifier
1891961413
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
039179 Issued in CT
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

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NH3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20101028000765 CT Practitioner - Internal Medicine 1759575236 Reassigns benefits to 1 organization
I20190312002674 RI Practitioner - Internal Medicine 1759575236 Reassigns benefits to 1 organization
I20211006002029 NH Practitioner - Internal Medicine 1759575236 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
039179CTMDInternal Medicine Physician
158849-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital-Laconia Internal Medicine CurrentSince May 1, 2022 Accepting new patients
Emergency Physicians of Connecticut PC CurrentSince Jan 1, 2016 Accepting new patients
Emergency Associates of Woonsocket LLC CurrentSince Jan 27, 2019 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.

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

Verify at the official NPI Registry.