Organization Active NPI

Naugatuck Valleyweightloss Center LLC

  • Obesity Medicine (Family Medicine) Physician
  • Orange, CT
National Provider Identifier
1275915779
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X
License
015130 Issued in CT
Legal business name
NAUGATUCK VALLEYWEIGHTLOSS CENTER LLC
Practice address
109 Boston Post Rd
Orange, CT 06477-3235
Phone
(203) 891-0655
Fax
(866) 581-0408
NPI assigned
Jun 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Authorized official

Name
Dr. Frank Troncale, M.D.
Title
Medical Director
Phone
20387910611

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QB0002X CT
Obesity Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QB0002X 015130 CT Primary

Addresses

Primary practice location

109 Boston Post Rd
Orange, CT 06477-3235

Mailing address

109 Boston Post Rd
Orange, CT 06477-3235
Phone (203) 891-0655

National Provider Directory

National Provider Directory
Tax ID family
Medi-Weightloss2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

109 Boston Post Rd
Orange, CT 06477
Phone (203) 298-4600

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1275915779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773235",
            "telephone_number": "203-891-0655",
            "fax_number": "866-581-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773235",
            "telephone_number": "203-891-0655",
            "fax_number": "866-581-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAUGATUCK VALLEYWEIGHTLOSS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "TRONCALE",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "20387910611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "CT",
            "license": "015130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.