Organization Active NPI

Greenwich Fertility & Ivf Center

  • Reproductive Endocrinology Physician
  • Greenwich, CT
National Provider Identifier
1972743284
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
GREENWICH FERTILITY & IVF CENTER
Practice address
55 Holly Hill LN
Suite 270
Greenwich, CT 06830
Phone
(203) 863-2990
Fax
(203) 863-2980
NPI assigned
Feb 26, 2009
Last updated
Feb 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Authorized official

Name
Mr. Eugene Colucci
Title
Secy/Treasurer
Phone
(203) 863-3008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X Primary

Addresses

Primary practice location

55 Holly Hill LN
Suite 270
Greenwich, CT 06830

Mailing address

55 Holly Hill LN
Suite 270
Greenwich, CT 06830-6074
Phone (203) 863-2990

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D1011767Greenwich Fertility and Ivf Center, PC55 Holly Hill LN, Ste 270, Greenwich, CT 06830ComplianceAug 28, 2027

National Provider Directory

National Provider Directory

Locations

55 Holly Hill Ln
Ste 270
Greenwich, CT 06830
Phone (203) 863-2990

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1972743284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HOLLY HILL LN",
            "address_2": "SUITE 270",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306074",
            "telephone_number": "203-863-2990",
            "fax_number": "203-863-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HOLLY HILL LN",
            "address_2": "SUITE 270",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "06830",
            "telephone_number": "203-863-2990",
            "fax_number": "203-863-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWICH FERTILITY & IVF CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "COLUCCI",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "SECY/TREASURER",
        "authorized_official_telephone_number": "203-863-3008",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.