Organization Active NPI

Robert J Patrignelli M D LLC

  • Procedural Dermatology Physician
  • Trumbull, CT
National Provider Identifier
1356541668
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
033309 Issued in CT
Legal business name
ROBERT J PATRIGNELLI M D LLC
Practice address
17 Church Hill Rd
Trumbull, CT 06611-3116
Phone
(203) 261-0800
Fax
(203) 268-2668
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Authorized official

Name
Dr. Robert J Patrignelli, M.D.
Title
Physician
Phone
(203) 261-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207NS0135X 033309 CT Primary

Addresses

Primary practice location

17 Church Hill Rd
Trumbull, CT 06611-3116

Mailing address

17 Church Hill Rd
Trumbull, CT 06611-3116
Phone (203) 261-0800

National Provider Directory

National Provider Directory

Locations

17 Church Hill Rd
Trumbull, CT 06611
Phone (203) 261-0800

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1356541668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CHURCH HILL RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113116",
            "telephone_number": "203-261-0800",
            "fax_number": "203-268-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CHURCH HILL RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113116",
            "telephone_number": "203-261-0800",
            "fax_number": "203-268-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J PATRIGNELLI M D LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "PATRIGNELLI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "203-261-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CT",
            "license": "033309",
            "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 Feb 5, 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.