Organization Active NPI

Town of Trumbull

  • State or Local Public Health Clinic/Center
  • Trumbull, CT
National Provider Identifier
1316321318
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
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

Updated by the provider on Nov 4, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2117003Town of Trumbull Health Department335 White Plains Rd, Trumbull, CT 06611Certificate of waiverAug 7, 2026

National Provider Directory

National Provider Directory
Tax ID family
Town of Trumbull4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

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.

Verify at the official NPI Registry.