Individual provider Active NPI

Anthony Andrew Lavorgna, D.C.

  • Chiropractor
  • New Haven, CT
National Provider Identifier
1487752770
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001202 Issued in CT
Practice address
46 Prince Street
Suite 201
New Haven, CT 06513
Phone
(203) 562-0656
Fax
(203) 562-0657
NPI assigned
Sep 20, 2006
Last updated
Feb 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001202 CT Primary

Addresses

Primary practice location

46 Prince Street
Suite 201
New Haven, CT 06513

Mailing address

46 Prince Street
Suite 201
New Haven, CT 06513
Phone (203) 562-0656

Other identifiers 1

IdentifierTypeStateIssuer
004172855MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080103000574 CT Practitioner - Chiropractic 0749360782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Life Health Care LLCGroup PAC ID 2961646021, 2 clinicians

Practice addresses (Care Compare)

46 Prince St
Suite 201
New Haven, CT 06519-1600
Phone (203) 562-0656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001202CTMDCounselor
1202CTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Life Health Care LLC CurrentSince Mar 23, 2012 Accepting new patients

Locations

46 Prince St
Ste 201
New Haven, CT 06519
Phone (203) 562-0656

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": "1361491200000",
    "number": "1487752770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 PRINCE STREET",
            "address_2": "SUITE 201",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06513",
            "telephone_number": "203-562-0656",
            "fax_number": "203-562-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 PRINCE STREET",
            "address_2": "SUITE 201",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06513",
            "telephone_number": "203-562-0656",
            "fax_number": "203-562-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVORGNA",
        "first_name": "ANTHONY",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004172855",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.