Donna R. Criscenzo, M.D., LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

022662 Issued in CT

Legal business name

DONNA R. CRISCENZO, M.D., LLC

Practice address

199 Goose LN
Guilford, CT 06437-2115

Phone

(203) 458-2888

Fax

(203) 458-2889

NPI assigned

Dec 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Donna R. Criscenzo, M.D.NPI 1225036528

Title

Owner

Phone

(203) 458-2888

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donna R Criscenzo, M.D.

  • Internal Medicine Physician
  • Guilford, CT
  • NPI 1225036528
  NPD (past) Authorized official

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1639353907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 GOOSE LN",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372115",
            "telephone_number": "203-458-2888",
            "fax_number": "203-458-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 GOOSE LN",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372115",
            "telephone_number": "203-458-2888",
            "fax_number": "203-458-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA R. CRISCENZO, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "CRISCENZO",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-458-2888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "022662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Didiano, LCSW
• Edward J Dill Jr., M.D.
• Amanda Dipaolo, RPH
• Howard Lee Distelman, MD
• Susan Wehstein Dobuler, MSW LCSW
• Deborah Kennedy Doucette, PHD
• Dr Orthodontics PC
• Christine Drago
• Erica B Drake, DPT
• Erin L Drum, LCSW

• Internal Medicine Physician in Guilford, CT
• Providers in Guilford, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.