Organization Active NPI

Emily a. Nolfo, M.D., L.L.C.

  • Internal Medicine Physician
  • Guilford, CT
National Provider Identifier
1053480194
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EMILY A. NOLFO, M.D., L.L.C.
Practice address
5 Durham Rd Ste C2
Guilford, CT 06437-2076
Phone
(203) 488-4334
Fax
(203) 488-7400
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Authorized official

Name
Dr. Emily A Nolfo, M.D.NPI 1417971920
Title
Owner
Phone
(203) 488-4334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5 Durham Rd Ste C2
Guilford, CT 06437-2076

Mailing address

5 Durham Rd Ste C2
Guilford, CT 06437-2076
Phone (203) 488-4334

Other identifiers 1

IdentifierTypeStateIssuer
001308940MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060302000509 CT Part B Supplier - Clinic/Group Practice 0941216790 Receives reassigned benefits from 1 practitioner
Practice locations: Guilford, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1053480194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DURHAM RD STE C2",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372076",
            "telephone_number": "203-488-4334",
            "fax_number": "203-488-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DURHAM RD STE C2",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372076",
            "telephone_number": "203-488-4334",
            "fax_number": "203-488-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY A. NOLFO, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "NOLFO",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-488-4334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001308940",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.