Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1174711188
John Farens Md Pc
Organization Subpart: NO
Active
NPI Number1174711188
NPI TypeNPI-2 Organization
SpecialtyInternal Medicine, Adolescent Medicine
Provider Details
NPI1174711188
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2007-10-04
Last Updated2011-03-21
Authorized OfficialJohn Farens
PRESIDENT
Phone: 2039261206
Mailing Address224 Leavenworth Rd
Shelton, CT 06484-1809
United States
Phone: (203) 926-1206 | Fax: (203) 926-0413
📍 View Map
Primary Practice Address224 Leavenworth Rd
Shelton, CT 06484-1809
United States
Phone: (203) 926-1206 | Fax: (203) 926-0413
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDCT1285289-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207RA0000X – Internal Medicine, Adolescent MedicineCT028528
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About NPI 1174711188

John Farens Md Pc is an organization registered in the CMS NPPES NPI Registry with NPI number 1174711188. The primary specialty listed is Internal Medicine, Adolescent Medicine. The organization is located in Shelton, CT. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-10-04. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1174711188?

NPI 1174711188 belongs to John Farens Md Pc, a Internal Medicine, Adolescent Medicine in Shelton, CT. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1174711188 active?

The current status of NPI 1174711188 in the NPPES registry is Active. The record was last updated on 2011-03-21.

What specialty is NPI 1174711188?

NPI 1174711188 is classified under the taxonomy Internal Medicine, Adolescent Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1174711188?

You can verify NPI 1174711188 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1174711188?

The primary practice address on file for NPI 1174711188 is 224 Leavenworth Rd, Shelton, CT 06484-1809. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1174711188 issued?

NPI 1174711188 was first issued (enumerated) on 2007-10-04. The NPPES record was last updated on 2011-03-21.

Practice Location Map

John Farens Md Pc is located at 224 Leavenworth Rd, Shelton, CT. Use the map below to find directions or verify the practice location.

📍 224 Leavenworth Rd, Shelton, CT 06484-1809  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as John Farens Md Pc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1174711188. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal Medicine, Adolescent Medicine028528CT
Data Verified from CMS NPPES Last synced: 2026-08-24 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162