Active NPI
Jeanne Fanizzi
- Phlebology Physician
- Milford, CT
National Provider Identifier
1003746728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- License
- 000266548
- Practice address
- 278 Old Gate LN
Milford, CT 06460-8621 - Phone
- (475) 449-1558
- NPI assigned
- May 22, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | 000266548 | CT | Primary |
Addresses
Primary practice location
278 Old Gate LN
Milford, CT 06460-8621
Mailing address
278 Old Gate LN # 306
Milford, CT 06460-8621
Phone (475) 449-1558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000266548 | CT | MD | Phlebology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1003746728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "278 OLD GATE LN # 306",
"city": "MILFORD",
"state": "CT",
"postal_code": "064608621",
"telephone_number": "475-449-1558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "278 OLD GATE LN",
"city": "MILFORD",
"state": "CT",
"postal_code": "064608621",
"telephone_number": "475-449-1558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANIZZI",
"first_name": "JEANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-22",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "CT",
"license": "000266548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.