NPIMap

Organization Active NPI

Margo Ruth Gross LLC

  • Multi-Specialty Clinic/Center
  • Redding, CT
National Provider Identifier
1992135396
Registry record updated Oct 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
000097 Issued in CT
Legal business name
MARGO RUTH GROSS LLC
Practice address
15 Poverty Hollow Rd
27 Governors Street, Riddgefield, CT 06877
Redding, CT 06896-3005
Phone
(203) 938-2308
Fax
(203) 938-2308
NPI assigned
Nov 21, 2013
Last updated
Oct 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2016

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

Authorized official

Name
Margo Ruth Gross, EDD, OTR/L, LMFT, LMNPI 1467662817
Title
Owner
Phone
(203) 938-2308

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 000097 CT Primary
Multi-Specialty Clinic/Center 261QM1300X 000517 CT
Multi-Specialty Clinic/Center 261QM1300X 000083 CT

Addresses

Primary practice location

15 Poverty Hollow Rd
27 Governors Street, Riddgefield, CT 06877
Redding, CT 06896-3005

Mailing address

15 Poverty Hollow Rd
Redding, CT 06896-3005
Phone (203) 938-2308

Other names 1

  • Ridgefield Visiting Nurse Association Other name

National Provider Directory

National Provider Directory

Locations

15 Governor St
Ridgefield, CT 06877
Phone (203) 938-2308

Practitioners & affiliated clinicians

Practitioners 1

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": "1384992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477180800000",
    "number": "1992135396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 POVERTY HOLLOW RD",
            "city": "REDDING",
            "state": "CT",
            "postal_code": "068963005",
            "telephone_number": "203-938-2308",
            "fax_number": "203-938-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 POVERTY HOLLOW RD",
            "address_2": "27 GOVERNORS STREET, RIDDGEFIELD, CT 06877",
            "city": "REDDING",
            "state": "CT",
            "postal_code": "068963005",
            "telephone_number": "203-938-2308",
            "fax_number": "203-938-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGO RUTH GROSS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-21",
        "last_updated": "2016-10-23",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "MARGO",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-938-2308",
        "authorized_official_credential": "EDD, OTR/L, LMFT, LM"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CT",
            "license": "000097",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CT",
            "license": "000517",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CT",
            "license": "000083",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgefield Visiting Nurse Association",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Redding, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2016; 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.