Cityblock Medical Practice Ct, P.C.
Internal Medicine in Waterbury, CT. Organization (NPI-2).
NPI number1396218293
StatusActive
Last updated in NPPESFeb 6, 2019
Details
- NPI
- 1396218293
- Entity type
- Organization (NPI-2)
- Legal business name
- Cityblock Medical Practice Ct, P.C.
- Organization subpart
- No
- Enumeration date
- Jan 3, 2019
- Last updated
- Feb 6, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – |
Practice location
76 Center St Fl 3Waterbury, CT 06702-2129
Phone 203-518-4566
Mailing address
55 Washington St Ste 552Brooklyn, NY 11201-1089
Authorized official
Jonathan Itskov
Credentialing
3474011399
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Internal Medicine Physician providers in Waterbury, CT
- Oltjon Albajrami, M.D.NPI 1336371566
- Shawnette Ann Alston, MDNPI 1568495604
- Florymar Simonet Alvarez, MDNPI 1811419377
- Daniyal Ahmed Ansari, M.DNPI 1962881896
- Ionut B Anton, MDNPI 1770550238
- Amit Barua, MBBSNPI 1710620760
- Clifford J Berg, MDNPI 1346560406
- Alina Bobrova, MDNPI 1548949696
- Sondra Iacullo Bogursky, MDNPI 1790711059
- Carolina Ioana Borz Baba, MDNPI 1053602094
All 135 Internal Medicine Physician providers in Waterbury · All 3,781 providers in Waterbury
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.