Flyte Medical PC

Primary specialty

Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X

Legal business name

FLYTE MEDICAL PC

Practice address

69 Grove St
New Canaan, CT 06840-5325

Phone

(646) 397-0208

NPI assigned

Jun 4, 2021

Organization subpart

No

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

Authorized official

Name

David Bass

Title

Coo

Phone

(415) 710-7775

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Matthew Faiman, MD

  • Internal Medicine Physician
  • Tempe, AZ
  • NPI 1184730806
  NPD

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1992372403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 GROVE ST",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068405325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 GROVE ST",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068405325",
            "telephone_number": "646-397-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLYTE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "415-710-7775"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Fetchet, LCSW
• Ryan George Flanagan, MD
• Sara J Florio
• William T Flynn, MD
• Flyte Medical of California PC
• Kailee Elizabeth Frank, LCSW
• Stephen Franze, MS
• Maia Freedman
• Stephen M Gallousis, MD
• Yesha Gandhi, M.D.

• Obesity Medicine (Preventive Medicine) Physician in New Canaan, CT
• Providers in New Canaan, CT by specialty
• Obesity Medicine (Preventive Medicine) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.