Richard Monticciolo MD and Marie Monticciolo MD LLP

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

028760 Issued in CT

Legal business name

RICHARD MONTICCIOLO MD AND MARIE MONTICCIOLO MD LLP

Practice address

2275 Silas Deane Hwy
Rocky Hill, CT 06067

Phone

(860) 257-7405

Fax

(860) 257-8788

NPI assigned

Apr 24, 2006

Last updated

Mar 14, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marie Hunazant Monticciolo, MDNPI 1396707840

Title

Partner

Phone

(860) 257-7405

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Marie Hunazant Monticciolo, MD

  • Internal Medicine Physician
  • Rocky Hill, CT
  • NPI 1396707840
  Medicare reassignment Care Compare group NPD Authorized official
• Richard Monticciolo, M.D.

  • Internal Medicine Physician
  • Rocky Hill, CT
  • NPI 1790747970
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268524800000",
    "number": "1245296730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 SILAS DEANE HWY",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "06067",
            "telephone_number": "860-257-7405",
            "fax_number": "860-257-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 SILAS DEANE HWY",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "06067",
            "telephone_number": "860-257-7405",
            "fax_number": "860-257-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD MONTICCIOLO MD AND MARIE MONTICCIOLO MD LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2010-03-14",
        "status": "A",
        "authorized_official_last_name": "MONTICCIOLO",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "HUNAZANT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "860-257-7405",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "030751",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "028760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004163010",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Rocky Hill, CT
• Providers in Rocky Hill, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.