Individual provider Active NPI

Fausto Petruzziello, MD

  • Internal Medicine Physician
  • North Haven, CT
National Provider Identifier
1316933419
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036943 Issued in CT
Practice address
52 Washington Ave
Suite 4
North Haven, CT 06473-1724
Phone
(203) 672-2800
Fax
(203) 672-2801
NPI assigned
Sep 23, 2005
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036943 CT Primary

Addresses

Primary practice location

52 Washington Ave
Suite 4
North Haven, CT 06473-1724

Mailing address

52 Washington Ave
Suite 4
North Haven, CT 06473-1724
Phone (203) 672-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071211000250 CT Practitioner - Internal Medicine 0345139630 Reassigns benefits to 1 organization
I20220907003547 FL Practitioner - Internal Medicine 0345139630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Caremedica Florida LLCGroup PAC ID 2365826849, 6 clinicians
Family Practice and Internal Medicine, LLCGroup PAC ID 5991894123, 9 clinicians

Practice addresses (Care Compare)

3401 Pga Blvd
Suite 310
Palm Beach Gardens, FL 33410-2824
Phone (561) 776-8890

52 Washington Ave
Suite 4
North Haven, CT 06473-1724
Phone (203) 672-2800

821 N Main St Ext
Suite 210
Wallingford, CT 06492-2464
Phone (203) 672-2800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Caremedica Florida LLC Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Family Practice & Internal Medicine, LLC Internal Medicine CurrentSince Jan 1, 2008 Accepting new patients
Family Practice & Internal Medicine of Spring Gren LLC Internal Medicine PastSince Sep 1, 2003 Accepting new patients

Locations

2200 Whitney Ave
Ste 100
Hamden, CT 06518
Phone (203) 234-1993

451 State St
North Haven, CT 06473
Phone (203) 248-8888

52 Washington Ave
#4
North Haven, CT 06473
Phone (203) 672-2800

52 Washington Ave
Ste 4
North Haven, CT 06473
Phone (203) 672-2800

3401 Pga Blvd
Ste 310
Palm Beach Gardens, FL 33410
Phone (561) 776-8890

Interoperability endpoints

  • Direct secure messaging: fausto.petruzziello@caremedica.eclinicaldirectplus.com
  • Direct secure messaging: fpetruzziello4255@direct.ynhh.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/BHJJBA

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1316933419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 WASHINGTON AVE",
            "address_2": "SUITE 4",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731724",
            "telephone_number": "203-672-2800",
            "fax_number": "203-672-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 WASHINGTON AVE",
            "address_2": "SUITE 4",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731724",
            "telephone_number": "203-672-2800",
            "fax_number": "203-672-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUZZIELLO",
        "first_name": "FAUSTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "036943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

Verify at the official NPI Registry.