Active NPI
Harry Ardolino, M.D., LLC
- Family Medicine Physician
- Branford, CT
National Provider Identifier
1508176272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HARRY ARDOLINO, M.D., LLC
- Practice address
- 21 Business Park Dr
Branford, CT 06405-2935 - Phone
- (203) 481-8444
- Fax
- (203) 483-0176
- NPI assigned
- Oct 15, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harry Ardolino, M.D.
- Title
- Owner/President
- Phone
- (203) 481-8444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
21 Business Park Dr
Branford, CT 06405-2935
Mailing address
21 Business Park Dr
Branford, CT 06405-2935
Phone (203) 481-8444
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OV9368 | Other | CT | HEALTHNET |
| 010024308CT02 | Other | CT | ANTHEM |
| 024308 | Other | CONNECTICARE | |
| 2652425 | Other | CT | AETNA |
| 0133567003 | Other | CT | CIGNA |
National Provider Directory
National Provider DirectoryLocations
21 Business Park Dr
Branford, CT 06405
Phone (203) 481-8444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287100800000",
"number": "1508176272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 BUSINESS PARK DR",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064052935",
"telephone_number": "203-481-8444",
"fax_number": "203-483-0176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 BUSINESS PARK DR",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064052935",
"telephone_number": "203-481-8444",
"fax_number": "203-483-0176"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARRY ARDOLINO, M.D., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-15",
"last_updated": "2010-10-15",
"status": "A",
"authorized_official_last_name": "ARDOLINO",
"authorized_official_first_name": "HARRY",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "203-481-8444",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "OV9368",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "010024308CT02",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "024308",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2652425",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0133567003",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Branford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.