Individual provider Active NPI

Gloria A Nardella, MSN, APRN

  • Nurse Practitioner
  • Danbury, CT
National Provider Identifier
1093101149
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
006071 Issued in CT
Practice address
38 Old Ridgebury Rd
Danbury, CT 06810-5128
Phone
(203) 792-4515
Fax
(203) 748-2604
NPI assigned
Apr 15, 2015
Last updated
Apr 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 006071 CT Primary
Family Nurse Practitioner 363LF0000X 006071 CT
Registered Nurse 163W00000X E51427 CT

Addresses

Primary practice location

38 Old Ridgebury Rd
Danbury, CT 06810-5128

Mailing address

38 Old Ridgebury Rd
Danbury, CT 06810-5128
Phone (203) 792-4515

Other practice location 1

1327 Meriden Rd
Wolcott, CT 06705-3630
Phone (475) 224-6871

Other identifiers 2

IdentifierTypeStateIssuer
008058359MedicaidCT
1174607253OtherCTMIDWESTERN CONNECTICUT COUNCIL OF ALCOHOLISM

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180514002565 CT Practitioner - Nurse Practitioner 0042574311 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Medica LLCGroup PAC ID 8921368143, 3 clinicians
Sanjay AggarwalGroup PAC ID 4183647654, 7 clinicians

Practice addresses (Care Compare)

1327 Meriden Rd
Wolcott, CT 06705-3630
Phone (475) 224-6766

889 Bridgeport Ave
Milford, CT 06460-3139
Phone (203) 783-9899

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
E51427CTMDRegistered Nurse
006071CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medica LLC CurrentSince Apr 4, 2018 Accepting new patients
Sanjay Aggarwal CurrentSince Sep 1, 2022 Accepting new patients

Locations

247 Broad St
Ste 1G
Milford, CT 06460

889 Bridgeport Ave
Milford, CT 06460
Phone (203) 693-2230

1427 Chapel St
New Haven, CT 06511
Phone (203) 553-7951

1327 Meriden Rd
Wolcott, CT 06705
Phone (475) 224-6766

Interoperability endpoints

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

Organizations & group practices 2

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 1

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": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1093101149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 OLD RIDGEBURY RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105128",
            "telephone_number": "203-792-4515",
            "fax_number": "203-748-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 OLD RIDGEBURY RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105128",
            "telephone_number": "203-792-4515",
            "fax_number": "203-748-2604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1327 Meriden Rd",
            "address_purpose": "LOCATION",
            "city": "Wolcott",
            "state": "CT",
            "postal_code": "067053630",
            "country_code": "US",
            "telephone_number": "475-224-6871",
            "fax_number": "203-528-3817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NARDELLA",
        "first_name": "GLORIA",
        "middle_name": "A",
        "credential": "MSN, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "006071",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "006071",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "E51427",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008058359",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDWESTERN CONNECTICUT COUNCIL OF ALCOHOLISM",
            "identifier": "1174607253",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.