Gastroenterology Associates of Fairfield PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

029845 Issued in CT

Legal business name

GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD PC

Doing business as

endoscopy center of fairfield

Practice address

425 Post Rd
Fairfield, CT 06824-6232

Phone

(203) 292-9000

Fax

(203) 292-1700

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Engel

Title

Administrator

Phone

(203) 292-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• endoscopy center of fairfield Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Listed as

The Endoscopy Center of FairfieldCCN 07C0001039

Medicare certification status

ActiveFrom the Provider of Services file

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Gastroenterology Associates of Fairfield P C

  dba gastroenterology associates of fairfield county p c

  • Specialist
  • Fairfield, CT
  • NPI 1285710442
  NPPES parent name

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.

• Gena M. Cobrin, MD

  • Specialist
  • Fairfield, CT
  • NPI 1205828126
  Medicare reassignment NPD
• Julie E. Spivack, MD

  • Specialist
  • Fairfield, CT
  • NPI 1316939226
  Medicare reassignment NPD
• Emil J. Blanco, MD

  • Specialist
  • Fairfield, CT
  • NPI 1134111040
  Medicare reassignment

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1982793709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246232",
            "telephone_number": "203-292-9000",
            "fax_number": "203-292-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246232",
            "telephone_number": "203-292-9000",
            "fax_number": "203-292-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "ENGEL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "203-292-9000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CT",
            "license": "029845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004123361",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "endoscopy center of fairfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric M Garver, MD
• Erika Joan Garvey
• Kurtis Garvin, LMFT
• Maura Garych
• Gastroenterology Associates of Fairfield P C (gastroenterology associates of fairfield county p c)
• Gavin Eldercare Management, LLC
• Mary Ellen Gavin
• Rey Ronald Gayo, DC
• Marie Ann Geelan, L.P.C.
• Arthur Greg Geiger, M.D.

• Ambulatory Surgical Clinic/Center in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Ambulatory Surgical Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.