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CITYBLOCK MEDICAL PRACTICE CT, P.C.
NPI 1396218293
Internal Medicine in Waterbury, CT

Active since January 03, 2019
76 CENTER ST FL 3, WATERBURY, CT 06702(203) 518-4566 Get Directions Write a Review

NPPES record last updated: February 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 6, 2019, Jan 3, 2019 (2 updates tracked since 2019).

About Cityblock Medical Practice Ct, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CITYBLOCK MEDICAL PRACTICE CT, P.C. (NPI 1396218293) is a healthcare organization registered as an internal medicine in Waterbury, Connecticut and active in the NPI registry since January 2019. The organization lists Jonathan Itskov, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1396218293
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCITYBLOCK MEDICAL PRACTICE CT, P.C.
Location Address76 CENTER ST FL 3Waterbury, CT 06702-2129
Mailing Address55 Washington St Ste 552Brooklyn, NY 11201-1089
Phone(203) 518-4566
Organization SubpartNo
Authorized OfficialJonathan ItskovCredentialing · (347) 401-1399
Enumeration DateJanuary 3, 2019
Last NPPES UpdateFebruary 6, 20192 updates tracked since enumeration
✔ NPI 1396218293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
76 CENTER ST FL 3, Waterbury, CT 06702
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY CHANELL HARRIS
Social Worker (Clinical)
76 CENTER ST FL 3
WATERBURY, CT 06702
Naugatuck Valley Planning Region (347) 401-1399

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cityblock Medical Practice Ct, P.C.'s NPI number?

The NPI number for Cityblock Medical Practice Ct, P.C. is 1396218293. It was assigned to this organization in the NPPES registry on January 3, 2019.

Where is Cityblock Medical Practice Ct, P.C. located?

Cityblock Medical Practice Ct, P.C. is located at 76 Center St Fl 3, Waterbury, CT 06702. The listed phone number is (203) 518-4566.

What is Cityblock Medical Practice Ct, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Cityblock Medical Practice Ct, P.C. was last updated on February 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.