Cityblock Medical Practice Ct, P.C.
NPI 1396218293 · Internal Medicine Physician · Waterbury, CT
Cityblock Medical Practice Ct, P.C. is a Internal Medicine Physician organization in Waterbury, CT (NPI 1396218293).
Provider details
- NPI number
- 1396218293
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jonathan Itskov, Credentialing(347) 401-1399
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-01-03
- Last updated
- 2019-02-06
Frequently asked questions
- What is Cityblock Medical Practice Ct, P.C.'s NPI number?
- Cityblock Medical Practice Ct, P.C.'s National Provider Identifier (NPI) is 1396218293, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cityblock Medical Practice Ct, P.C.?
- Cityblock Medical Practice Ct, P.C. is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Cityblock Medical Practice Ct, P.C. located?
- Cityblock Medical Practice Ct, P.C.'s practice location on file with NPPES is 76 Center St Fl 3, Waterbury, CT 06702-2129.
- What is Cityblock Medical Practice Ct, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Cityblock Medical Practice Ct, P.C. is (203) 518-4566.
- Who is the authorized official for Cityblock Medical Practice Ct, P.C.?
- The authorized official listed on Cityblock Medical Practice Ct, P.C.'s NPPES record is Jonathan Itskov, Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cityblock Medical Practice Ct, P.C.'s NPI active?
- Yes — Cityblock Medical Practice Ct, P.C.'s NPI (1396218293) is active in the NPPES registry as of the last update on 2019-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.