Individual provider Active NPI

Vincent F Miscia, MD

  • Cardiovascular Disease Physician
  • Bridgewater, CT
National Provider Identifier
1942357488
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
038077 Issued in CT
Practice address
300 Rocky Hill Road
Bridgewater, CT 06752-0004
Phone
(860) 210-1948
Fax
(860) 210-1951
NPI assigned
Jan 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 038077 CT Primary
Cardiovascular Disease Physician 207RC0000X 1032101 NY
Cardiovascular Disease Physician 207RC0000X 25MA02362500 NJ

Addresses

Primary practice location

300 Rocky Hill Road
Bridgewater, CT 06752-0004

Mailing address

PO Box 4
300 Rocky Hill Road
Bridgewater, CT 06752-0004
Phone (860) 210-1948

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
038077CTMDCardiovascular Disease Physician
25MA02362500NJMDCardiovascular Disease Physician
1032101NYMDCardiovascular Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942357488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "address_2": "300 ROCKY HILL ROAD",
            "city": "BRIDGEWATER",
            "state": "CT",
            "postal_code": "067520004",
            "telephone_number": "860-210-1948",
            "fax_number": "860-210-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ROCKY HILL ROAD",
            "city": "BRIDGEWATER",
            "state": "CT",
            "postal_code": "067520004",
            "telephone_number": "860-210-1948",
            "fax_number": "860-210-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISCIA",
        "first_name": "VINCENT",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "038077",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "1032101",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA02362500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, 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.

Verify at the official NPI Registry.