Individual provider Active NPI

Emily A Nolfo, MD

  • Internal Medicine Physician
  • Guilford, CT
National Provider Identifier
1417971920
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
030894 Issued in CT
Practice address
5 Durham Rd Ste C2
Guilford, CT 06437-2076
Phone
(203) 488-4334
Fax
(203) 488-7400
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 30894 CT
Internal Medicine Physician 207R00000X 030894 CT Primary

Addresses

Primary practice location

5 Durham Rd Ste C2
Guilford, CT 06437-2076

Mailing address

5 Durham Rd Ste C2
Guilford, CT 06437-2076
Phone (203) 488-4334

Other identifiers 1

IdentifierTypeStateIssuer
001338940MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060302000496 CT Practitioner - Internal Medicine 6406862259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York Downstate Medical Center, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5 Durham Rd
Suite C2
Guilford, CT 06437-2076
Phone (203) 488-4334

Hospital & facility affiliations

  • Yale New Haven Health - Health at Home Home health agency, Milford, CT, CCN 077143
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020
  • Gaylord Hospital Inc Long-term care hospital, Wallingford, CT, CCN 072003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
030894CTMDInternal Medicine Physician
30894CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emily a. Nolfo, M.D., L.L.C. Internal Medicine CurrentSince Mar 7, 2002 Accepting new patients
Stony Creek Internal Medicine PLC Internal Medicine Past Accepting new patients
Northeast Medical Group, Inc. Internal Medicine Past Accepting new patients
Branford Internal Medicine LLC Internal Medicine PastSince May 15, 2000 Accepting new patients

Locations

5 Durham Rd
Ste C2
Guilford, CT 06437
Phone (203) 488-4334

5 Durham Rd
Ste A7
Guilford, CT 06437
Phone (203) 453-2181

Interoperability endpoints

  • Direct secure messaging: emily.nolfo.1@13896.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1417971920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DURHAM RD STE C2",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372076",
            "telephone_number": "203-488-4334",
            "fax_number": "203-488-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DURHAM RD STE C2",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372076",
            "telephone_number": "203-488-4334",
            "fax_number": "203-488-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLFO",
        "first_name": "EMILY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "30894",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "030894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001338940",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

Verify at the official NPI Registry.