Antonio Reale, N.D.

Primary specialty

NaturopathTaxonomy code 175F00000X

License

5.000567 Issued in CT

Practice address

135 Main St
Wethersfield, CT 06109-3125

Phone

(860) 748-6624

NPI assigned

Apr 29, 2016

Last updated

Apr 29, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Herbal Room, LLC

  • Naturopath
  • Wethersfield, CT
  • NPI 1154770253
  NPD (past) Authorized official

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1508211335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 MAIN ST",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061093125",
            "telephone_number": "860-748-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MAIN ST",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061093125",
            "telephone_number": "860-748-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REALE",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CT",
            "license": "5.000567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radiant Beginning LLC
• Lani Frances Ralston, ANP
• Maha Ramamurthy, O.D., M.S.
• Jason Raney, D.M.D.
• Jill Johnson Raney, PH.D.
• Reflections Counseling and Consulting Services LLC
• Reformed Natural Therapeutics
• Robert Reginio, MD
• Madison Kathleen Reimondo, LCSW
• Emalie Nicole Reinert

• Naturopath in Wethersfield, CT
• Providers in Wethersfield, CT by specialty
• Naturopath in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.