Organization Active NPI

Anthony J. Vallone, MD, PC

  • Otolaryngology Physician
  • Bridgeport, CT
National Provider Identifier
1427376334
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
012935 Issued in CT
Legal business name
ANTHONY J. VALLONE, MD, PC
Practice address
4718 Main St
Bridgeport, CT 06606-1823
Phone
(203) 372-4325
Fax
(203) 374-7836
NPI assigned
May 17, 2010
Last updated
May 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2010

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

Authorized official

Name
Dr. Anthony Joseph Vallone, M.D.
Title
President
Phone
(203) 372-4325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 012935 CT Primary

Addresses

Primary practice location

4718 Main St
Bridgeport, CT 06606-1823

Mailing address

4718 Main St
Bridgeport, CT 06606-1823
Phone (203) 372-4325

Other identifiers 1

IdentifierTypeStateIssuer
1129352MedicaidCT

National Provider Directory

National Provider Directory

Locations

4718 Main St
Bridgeport, CT 06606
Phone (203) 371-5355

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1427376334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4718 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061823",
            "telephone_number": "203-372-4325",
            "fax_number": "203-374-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4718 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061823",
            "telephone_number": "203-372-4325",
            "fax_number": "203-374-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY J. VALLONE, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "VALLONE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-372-4325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CT",
            "license": "012935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1129352",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.