Ernest Luke Squatrito, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

000536 Issued in CT

Practice address

131 New London Tpke
Suite 103
Glastonbury, CT 06033-4535

Phone

(860) 659-5999

Fax

(860) 659-5999

NPI assigned

Jul 21, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Glastonbury Osteopathic, LLC

  • Family Medicine Physician
  • Glastonbury, CT
  • NPI 1679667604
  NPD (past) Authorized official
• Eastern Connecticut Medical Professionals Foundation Inc

  dba Eastern CT Medical Professionals

  • Family Medicine Physician
  • Manchester, CT
  • NPI 1770557712
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1194724054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 STRICKLAND ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332527",
            "telephone_number": "860-659-5999",
            "fax_number": "860-633-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 NEW LONDON TPKE",
            "address_2": "SUITE 103",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334535",
            "telephone_number": "860-659-5999",
            "fax_number": "860-659-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUATRITO",
        "first_name": "ERNEST",
        "middle_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "000536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001005364",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Maxine Spencer, APRN, PMHNP-BC
• Ralph Sperry, PH.D.,
• Sydney Kendall Spiewak, REGISTERED DIETITIAN
• Ernest B Spira, DDS
• Katherine Spring
• Mullai Srinivasan, BCBA
• Prasad Srinivasan, MD
• Richard Stachelek, RPH
• Dorothy C Standish, LPC
• Ioana Cristiana Stanescu, MD

• Family Medicine Physician in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.