Individual provider Active NPI

Nicholas Matthew Lodato, M.D.

  • Anesthesiology Physician
  • New London, CT
National Provider Identifier
1225280498
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
047161 Issued in CT
Practice address
365 Montauk Ave
Anesthesia Associates of New London
New London, CT 06320-4700
Phone
(860) 442-0711
NPI assigned
Oct 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 047161 CT Primary

Addresses

Primary practice location

365 Montauk Ave
Anesthesia Associates of New London
New London, CT 06320-4700

Mailing address

3 Aberdeen CT
East Lyme, CT 06333-1162
Phone (203) 253-1693

Other identifiers 1

IdentifierTypeStateIssuer
1225280498MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090624000236 CT Practitioner - Anesthesiology 9133270689 Reassigns benefits to 2 organizations
I20190910001607 RI Practitioner - Anesthesiology 9133270689 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
047161CTMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiologists of Middletown, P.C. Anesthesiology CurrentSince Jul 18, 2022 Accepting new patients
Northeast Medical Group, Inc. CurrentSince Jan 1, 2022 Accepting new patients

Locations

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

5 Perryridge Rd
Rm 369N
Greenwich, CT 06830
Phone (203) 863-3000

145 S Main St
Middletown, CT 06457
Phone (860) 346-5889

410 Saybrook Rd
Middletown, CT 06457
Phone (615) 686-2262

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

20 York St
North Haven, CT 06510
Phone (203) 688-2433

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

140 Cross Rd
Waterford, CT 06385
Phone (860) 701-0140

25 Wells St
Westerly, RI 02891
Phone (401) 348-3325

45 East Ave
Westerly, RI 02891
Phone (401) 596-6000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1225280498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ABERDEEN CT",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331162",
            "telephone_number": "203-253-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 MONTAUK AVE",
            "address_2": "ANESTHESIA ASSOCIATES OF NEW LONDON",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204700",
            "telephone_number": "860-442-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODATO",
        "first_name": "NICHOLAS",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-19",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "047161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225280498",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.