Advanced Rejuvenation Therapy

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ADVANCED REJUVENATION THERAPY

Doing business as

BioRestore

Practice address

32 Church Hill Rd BLDG E
Newtown, CT 06470-1638

Phone

(203) 491-2999

NPI assigned

Oct 10, 2022

Last updated

Aug 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary Garofalo, OWNER

Title

Authorized Offcial

Phone

(203) 309-9378

Specialties & licenses 2

Addresses

Other names 1

• BioRestore Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jordan Buchla

  • Nurse Practitioner
  • Newtown, CT
  • NPI 1386480705
  Medicare reassignment Care Compare group NPD
• Elizabeth G Scholl

  • Nurse Practitioner
  • Newtown, CT
  • NPI 1457807885
  Medicare reassignment Care Compare group NPD
• Taylor Schaake, APRN

  • Family Nurse Practitioner
  • Southbury, CT
  • NPI 1730793407
  Medicare reassignment NPD
• Christopher Michael Betz, D.O

  • Orthopaedic Surgery Physician
  • Far Rockaway, NY
  • NPI 1164719159

  CT

  Medicare reassignment NPD
• Aimee Jaquez, PAC

  • Physician Assistant
  • Newtown, CT
  • NPI 1689710980
  Medicare reassignment

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1063137271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CHURCH HILL RD BLDG E",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701638",
            "telephone_number": "203-491-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CHURCH HILL RD BLDG E",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701638",
            "telephone_number": "203-491-2999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Waterside Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060323056",
            "country_code": "US",
            "telephone_number": "203-491-2999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED REJUVENATION THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "GAROFALO",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "AUTHORIZED OFFCIAL",
        "authorized_official_telephone_number": "203-309-9378",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BioRestore",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BioRestore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Vincent P Addorisio, RPH
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• Alireza Afshar, MD
• Brianna Fox Agnello, LMT
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• Samantha Andersen-Drenckhahn, LPC
• Andrea Reinhardt, LCSW and Associates, LLC (Real LLC)

• Orthopaedic Surgery Physician in Newtown, CT
• Providers in Newtown, CT by specialty
• Orthopaedic Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.