Nutmeg Pediatric Pulmonary Services LLC

Primary specialty

Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X

License

034923 Issued in CT

Legal business name

NUTMEG PEDIATRIC PULMONARY SERVICES LLC

Practice address

6 Business Park Dr
Suite 202
Branford, CT 06405-2988

Phone

(203) 208-2395

Fax

(203) 433-4638

NPI assigned

Nov 21, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Regina M Palazzo, M.D.NPI 1801862602

Title

Owner

Phone

(203) 208-2395

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 3

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

• Regina M Palazzo, MD

  • Pediatric Pulmonology Physician
  • Branford, CT
  • NPI 1801862602
  Medicare reassignment NPD Authorized official
• Kristine C Edwards, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Branford, CT
  • NPI 1750197125
  NPD (past)
• Katarzyna Marta Saar, D.O.

  • Student in an Organized Health Care Education/Training Program
  • Hartford, CT
  • NPI 1710331558
  NPD (past)

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1053655548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BUSINESS PARK DR",
            "address_2": "SUITE 202",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052988",
            "telephone_number": "203-208-2395",
            "fax_number": "203-433-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BUSINESS PARK DR",
            "address_2": "SUITE 202",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052988",
            "telephone_number": "203-208-2395",
            "fax_number": "203-433-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTMEG PEDIATRIC PULMONARY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "PALAZZO",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-208-2395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "CT",
            "license": "034923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "034923",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cyrene Nicholas
• Hayley Ninteau
• No Place Like Home Care, LLC
• Norma Gomez DDS and Associates LLC
• Katherine Reed Novak, CCC-SLP
• Deidra Marie O'Connor
• Stella O'Leary, RPH
• Mark Francis O'Loughlin, D.C.
• Rachel O'Toole
• Chinelo Okwuosa, M.D..

• Pediatric Pulmonology Physician in Branford, CT
• Providers in Branford, CT by specialty
• Pediatric Pulmonology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.