Individual provider Active NPI

Alphonse Louis Paolillo Jr., DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Norwalk, CT
National Provider Identifier
1215642673
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11416 Issued in CT
Practice address
149 Water Street
Suite 402
Norwalk, CT 06854
Phone
(203) 842-2894
Fax
(203) 635-5349
NPI assigned
Jan 20, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11416 CT
Family Nurse Practitioner 363LF0000X 11416 CT Primary

Addresses

Primary practice location

149 Water Street
Suite 402
Norwalk, CT 06854

Mailing address

149 Water Street
Suite 402
Norwalk, CT 06854
Phone (203) 842-2894

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
I20230330002739 CT Practitioner - Nurse Practitioner 1951776152 Reassigns benefits to 1 organization
Practice locations: Norwalk, CT

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

149 Water St
Suite 402
Norwalk, CT 06854-3781
Phone (203) 842-2894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11416CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blick Medical Allies ,Inc Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients

Locations

149 Water St
Ste 402
Norwalk, CT 06854
Phone (203) 842-2894

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1215642673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 WATER STREET",
            "address_2": "SUITE 402",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "06854",
            "telephone_number": "203-842-2894",
            "fax_number": "203-635-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 WATER STREET",
            "address_2": "SUITE 402",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "06854",
            "telephone_number": "203-842-2894",
            "fax_number": "203-635-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAOLILLO",
        "first_name": "ALPHONSE",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-20",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "11416",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "11416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.