Gerald Germano, M.D.

Individual provider Active NPI Pediatrics Physician · Ansonia, CT

NPI 1568489136 · NPPES record last updated Apr 8, 2013

Key facts

NPI
1568489136
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
018749 (CT)
Practice address
20 Westfield Ave
Ansonia, CT 06401-1163
Phone
(203) 734-1644
Fax
(203) 734-9222
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
018749CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Medical Associates, P.C. Pediatrics Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 018749 CT Yes

Addresses

Primary practice location

20 Westfield Ave
Ansonia, CT 06401-1163

Mailing address

20 Westfield Ave
Ansonia, CT 06401-1163
Phone (203) 734-1644

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 8, 2013.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1568489136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WESTFIELD AVE",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011163",
            "telephone_number": "203-734-1644",
            "fax_number": "203-734-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WESTFIELD AVE",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011163",
            "telephone_number": "203-734-1644",
            "fax_number": "203-734-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMANO",
        "first_name": "GERALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "018749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ansonia, CT

All providers in Ansonia, CT · Pediatrics Physician in Connecticut

Sources for this page

Verify at the official NPI Registry.