Richard L. Petrelli, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

018775 Issued in CT

Practice address

3018 Dixwell Ave
2ND Floor
Hamden, CT 06518-3508

Phone

(203) 281-5800

NPI assigned

May 31, 2006

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• New Haven Ophthalmology Associates, PC

  • Ophthalmology Physician
  • New Haven, CT
  • NPI 1194771790
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1225075385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 DIXWELL AVE",
            "address_2": "2ND FLOOR",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183508",
            "telephone_number": "203-281-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 DIXWELL AVE",
            "address_2": "2ND FLOOR",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183508",
            "telephone_number": "203-281-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRELLI",
        "first_name": "RICHARD",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "018775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001187756",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie H Peters, CCC-SLP
• Susan Marie Peters, APRN
• Kathryn Mary Peterson, APRN
• Danielle Loni Petit, PA-C
• Alaina Petracca, PA-C
• Teresa Petreycik
• Sharon Pettway-Stewart
• Madge Deborah Philippe, LMSW
• Zachary V Philippon, DPT
• Eugene B Piasetsky, PH.D.

• Ophthalmology Physician in Hamden, CT
• Providers in Hamden, CT by specialty
• Ophthalmology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.