Active NPI
GV Medical Practice, LLC
- Endocrinology, Diabetes & Metabolism Physician
- Southbury, CT
National Provider Identifier
1629782180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- GV MEDICAL PRACTICE, LLC
- Doing business as
- Connecticut Rehab and Medical
Diabetes & Neuropathy Restoration Center - Practice address
- 220 Main St S Ste 206
Southbury, CT 06488-2275 - Phone
- (203) 348-8200
- Fax
- (888) 394-0982
- NPI assigned
- Jan 10, 2023
- 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
- Dr. Gerald A Valletta
- Title
- Owner
- Phone
- (203) 241-9457
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetology (Internal Medicine) Physician | 207QB0505X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
220 Main St S Ste 206
Southbury, CT 06488-2275
Mailing address
220 Main St S Ste 206
Southbury, CT 06488-2275
Phone (860) 990-5480
Other names 2
- Connecticut Rehab and Medical
- Diabetes & Neuropathy Restoration Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
17 Farmington Ave
Ste B2
Plainville, CT 06062
Phone (203) 536-6274
220 Main St S
Ste 207B
Southbury, CT 06488
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Waterbury, CT
- NPI 1417991688
-
- Internal Medicine Physician
- Hamden, CT
- NPI 1144250630
-
- Chiropractor
- Carmel, NY
- NPI 1093846537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774137600000",
"number": "1629782180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 MAIN ST S STE 206",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064882275",
"telephone_number": "860-990-5480",
"fax_number": "888-394-0982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 MAIN ST S STE 206",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064882275",
"telephone_number": "203-348-8200",
"fax_number": "888-394-0982"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GV MEDICAL PRACTICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-10",
"last_updated": "2026-03-22",
"certification_date": "2026-03-22",
"status": "A",
"authorized_official_last_name": "VALLETTA",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-241-9457",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207QB0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Diabetology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Connecticut Rehab and Medical",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Diabetes & Neuropathy Restoration Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Southbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.