Individual provider Active NPI

Lorenzo Salvatore Galante, MD

  • Internal Medicine Physician
  • North Haven, CT
National Provider Identifier
1023180726
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036028 Issued in CT
Practice address
2 Broadway
North Haven, CT 06473-2349
Phone
(203) 234-6500
Fax
(203) 234-6503
NPI assigned
Nov 15, 2006
Last updated
Sep 14, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036028 CT Primary

Addresses

Primary practice location

2 Broadway
North Haven, CT 06473-2349

Mailing address

2 Broadway
North Haven, CT 06473-2349
Phone (203) 234-6500

Other identifiers 2

IdentifierTypeStateIssuer
1360289MedicaidCT
036028OtherCTLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101006001049 CT Practitioner - Internal Medicine 2769401140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Broadway Medical Group LLCGroup PAC ID 4587626635, 3 clinicians

Practice addresses (Care Compare)

2 Broadway
North Haven, CT 06473-2349
Phone (203) 234-6500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036028CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broadway Medical Group, LLC Internal Medicine CurrentSince Apr 1, 1999 Accepting new patients

Locations

2 Broadway
North Haven, CT 06473
Phone (203) 234-6500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGFAAA/Endpoint/AGFAAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1023180726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BROADWAY",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732349",
            "telephone_number": "203-234-6500",
            "fax_number": "203-234-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BROADWAY",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732349",
            "telephone_number": "203-234-6500",
            "fax_number": "203-234-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALANTE",
        "first_name": "LORENZO",
        "middle_name": "SALVATORE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "036028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1360289",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "036028",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

Verify at the official NPI Registry.