Active NPI
Allyson Lynn Rovetto, M.D.
- Pediatrics Physician
- Watertown, CT
National Provider Identifier
1285892703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 050007
- Practice address
- 365 Main St Ste 201
Watertown, CT 06795-2249 - Phone
- (860) 274-2418
- Fax
- (860) 274-2986
- NPI assigned
- May 30, 2008
- Last updated
- Jan 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 050007 | CT | Primary |
Addresses
Primary practice location
365 Main St Ste 201
Watertown, CT 06795-2249
Mailing address
365 Main St Ste 201
Watertown, CT 06795-2249
Phone (860) 274-2418
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154371 | Other | CT | USA |
| 008032569 | Medicaid | CT | |
| 050007 | Other | CT | CONNECTICARAE |
| 1120325 | Other | CT | CIGNA |
| 1120325 | Other | CT | GREAT WEST |
| 618823 | Other | CT | WELLCARE |
| P4362830 | Other | CT | OXFORD |
| PENDING | Other | CT | RR MEDICARE |
| 010050007CT01 | Other | CT | ANTHEM BCBS CT |
| 9823685 | Other | CT | AETNA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | staff@watertown.doctor | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050007 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child & Adolescent Health Care | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- allysonrovetto@caahc-ct.direct.office.nextgen.com
- https://api.platform.athenahealth.com/11240/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Waterbury, CT
- NPI 1497937411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642464000000",
"number": "1285892703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 MAIN ST STE 201",
"city": "WATERTOWN",
"state": "CT",
"postal_code": "067952249",
"telephone_number": "860-274-2418",
"fax_number": "860-274-2986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 MAIN ST STE 201",
"city": "WATERTOWN",
"state": "CT",
"postal_code": "067952249",
"telephone_number": "860-274-2418",
"fax_number": "860-274-2986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROVETTO",
"first_name": "ALLYSON",
"middle_name": "LYNN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-30",
"last_updated": "2022-01-18",
"certification_date": "2022-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "050007",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA",
"identifier": "1154371",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008032569",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARAE",
"identifier": "050007",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1120325",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "1120325",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "618823",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P4362830",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "PENDING",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS CT",
"identifier": "010050007CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9823685",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "staff@watertown.doctor",
"affiliation": "N",
"endpointDescription": "Secure Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "365 Main St Ste 201",
"city": "Watertown",
"state": "CT",
"country_code": "US",
"postal_code": "067952249",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Watertown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.