NPIMap

Organization Active NPI

Nutmeg Pediatric Pulmonary Services

  • Pediatric Pulmonology Physician
  • New Haven, CT
National Provider Identifier
1174792949
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
Legal business name
NUTMEG PEDIATRIC PULMONARY SERVICES
Practice address
60 Temple St
7F
New Haven, CT 06510
Phone
(203) 789-1338
Fax
(203) 789-1478
NPI assigned
Feb 26, 2008
Last updated
May 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Regina M Palazzo, MDNPI 1801862602
Title
President
Phone
(203) 789-1338

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
Pediatric Pulmonology Physician 2080P0214X CT Primary

Addresses

Primary practice location

60 Temple St
7F
New Haven, CT 06510

Mailing address

60 Temple St
7F
New Haven, CT 06510
Phone (203) 789-1338

Other identifiers 1

IdentifierTypeStateIssuer
001349233MedicaidCT

National Provider Directory

National Provider Directory

Locations

60 Temple St
Ste 7F
New Haven, CT 06510
Phone (203) 789-1338

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1174792949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 TEMPLE ST",
            "address_2": "7F",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06510",
            "telephone_number": "203-789-1338",
            "fax_number": "203-789-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 TEMPLE ST",
            "address_2": "7F",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06510",
            "telephone_number": "203-789-1338",
            "fax_number": "203-789-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTMEG PEDIATRIC PULMONARY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "PALAZZO",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-789-1338",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001349233",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.