Organization Active NPI

Paolo Mapelli MD LLC

  • Gastroenterology Physician
  • Waterbury, CT
National Provider Identifier
1083800445
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
022747 Issued in CT
Legal business name
PAOLO MAPELLI MD LLC
Practice address
1312 W Main St
Suite 101
Waterbury, CT 06708-3121
Phone
(203) 756-6422
Fax
(203) 575-0063
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Mrs. Christine Summa
Title
Billing Office Supervisor
Phone
(203) 756-6422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 022747 CT Primary

Addresses

Primary practice location

1312 W Main St
Suite 101
Waterbury, CT 06708-3121

Mailing address

1312 W Main St
Suite 101
Waterbury, CT 06708-3121
Phone (203) 756-6422

Other identifiers 1

IdentifierTypeStateIssuer
DA7135OtherCTRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1312 W Main St
Ste 101
Waterbury, CT 06708
Phone (203) 346-2200

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": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1083800445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 W MAIN ST",
            "address_2": "SUITE 101",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083121",
            "telephone_number": "203-756-6422",
            "fax_number": "203-575-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 W MAIN ST",
            "address_2": "SUITE 101",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083121",
            "telephone_number": "203-756-6422",
            "fax_number": "203-575-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAOLO MAPELLI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "SUMMA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "BILLING OFFICE SUPERVISOR",
        "authorized_official_telephone_number": "203-756-6422",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CT",
            "license": "022747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA7135",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.