Individual provider Active NPI

Albert J Denuzzio, MD

  • Internal Medicine Physician
  • Newington, CT
National Provider Identifier
1447358056
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
025394 Issued in CT
Practice address
1268 Main St
Suite 102
Newington, CT 06111-3038
Phone
(860) 666-5119
Fax
(860) 666-9269
NPI assigned
Sep 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 025394 CT Primary

Addresses

Primary practice location

1268 Main St
Suite 102
Newington, CT 06111-3038

Mailing address

1268 Main St
Suite 102
Newington, CT 06111-3038
Phone (860) 666-5119

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
I20101013000013 CT Practitioner - Internal MedicinePractitioner - General Practice 7911199633 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025394CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group, Inc Internal Medicine CurrentSince Oct 6, 2016 Accepting new patients

Locations

11 South Rd
Ste 130
Farmington, CT 06032
Phone (860) 224-5360

1268 Main St
Ste 102
Newington, CT 06111
Phone (860) 666-5119

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447358056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 MAIN ST",
            "address_2": "SUITE 102",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061113038",
            "telephone_number": "860-666-5119",
            "fax_number": "860-666-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 MAIN ST",
            "address_2": "SUITE 102",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061113038",
            "telephone_number": "860-666-5119",
            "fax_number": "860-666-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENUZZIO",
        "first_name": "ALBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "025394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

Verify at the official NPI Registry.