Active NPI
Town of Trumbull
- State or Local Public Health Clinic/Center
- Trumbull, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- State or Local Public Health Clinic/Center
- Legal business name
- TOWN OF TRUMBULL
- Practice address
- 335 White Plains Rd
Trumbull Health Department
Trumbull, CT 06611-4856 - Phone
- (203) 452-1030
- Fax
- (203) 452-1050
- NPI assigned
- Jul 20, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Vicki A. Tesoro
- Title
- First Selectman
- Phone
- (203) 452-5011
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| State or Local Public Health Clinic/Center | 261QP0905X | Primary |
Addresses
Primary practice location
335 White Plains Rd
Trumbull Health Department
Trumbull, CT 06611-4856
Mailing address
5866 Main St
Trumbull Town Hall
Trumbull, CT 06611-3113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160224000590 | CT | Part B Supplier - Mass Immunization (Roster Biller Only) | 8022188341 | Practice locations: Trumbull, CT |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D2117003 | Town of Trumbull Health Department | Certificate of waiver | Aug 7, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Town of Trumbull
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Trumbull, CT
- NPI 1710868732
-
- Ambulance
- Trumbull, CT
- NPI 1811063548
-
- Local Education Agency (LEA)
- Trumbull, CT
- NPI 1124453147
Locations
335 White Plains Rd
Trumbull, CT 06611
Phone (203) 452-1030
250 Middlebrooks Ave
Trumbull, CT 06611
Phone (203) 452-5146
5866 Main St
Trumbull, CT 06611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730678400000",
"number": "1316321318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5866 MAIN ST",
"address_2": "TRUMBULL TOWN HALL",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066113113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 WHITE PLAINS RD",
"address_2": "TRUMBULL HEALTH DEPARTMENT",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066114856",
"telephone_number": "203-452-1030",
"fax_number": "203-452-1050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF TRUMBULL",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-20",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A",
"authorized_official_last_name": "TESORO",
"authorized_official_first_name": "VICKI",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "FIRST SELECTMAN",
"authorized_official_telephone_number": "203-452-5011",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.