Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cityblock Medical Practice CT, PC

Organization Family Medicine Physician · NPI 1396218293

Cityblock Medical Practice CT, PC is a Family Medicine Physician in Waterbury, Connecticut. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

76 Center St Fl 3
Waterbury, CT 06702-2129
Phone: (203) 518-4566
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1396218293
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Itskov — Credentialing · (347) 401-1399
NPI enumeratedJanuary 3, 2019
Last updated in NPPESFebruary 6, 2019
Mailing address55 Washington St Ste 552, Brooklyn, NY 11201-1089

Other providers in Waterbury