Organization Active NPI

Integrative Medical Consulting LLC

  • Nutritionist
  • New Canaan, CT
National Provider Identifier
1922495092
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
133N00000X Issued in CT
Legal business name
INTEGRATIVE MEDICAL CONSULTING LLC
Practice address
917 South Ave
New Canaan, CT 06840-6738
Phone
(203) 916-3233
NPI assigned
Apr 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Authorized official

Name
Dr. Delayne Gratopp, NMDNPI 1770970840
Title
Ceo
Phone
(203) 916-3233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X 133N00000X CT Primary

Addresses

Primary practice location

917 South Ave
New Canaan, CT 06840-6738

Mailing address

917 South Ave
New Canaan, CT 06840-6738
Phone (203) 916-3233

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1922495092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 SOUTH AVE",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068406738",
            "telephone_number": "203-916-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 SOUTH AVE",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068406738",
            "telephone_number": "203-916-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICAL CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "GRATOPP",
        "authorized_official_first_name": "DELAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-916-3233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NMD"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": "CT",
            "license": "133N00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Canaan, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.