Active NPI
Paul Andrew Gargano, M.D.
- Internal Medicine Physician
- Trumbull, CT
National Provider Identifier
1649292947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 16072
- Practice address
- 15 Corporate Dr
Suite 2-2
Trumbull, CT 06611-1351 - Phone
- (203) 268-8673
- Fax
- (203) 268-8674
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 16072 | CT | Primary |
Addresses
Primary practice location
15 Corporate Dr
Suite 2-2
Trumbull, CT 06611-1351
Mailing address
15 Corporate Dr
Suite 2-2
Trumbull, CT 06611-1351
Phone (203) 268-8673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1160720 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16072 | CT | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649292947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 CORPORATE DR",
"address_2": "SUITE 2-2",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066111351",
"telephone_number": "203-268-8673",
"fax_number": "203-268-8674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 CORPORATE DR",
"address_2": "SUITE 2-2",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066111351",
"telephone_number": "203-268-8673",
"fax_number": "203-268-8674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARGANO",
"first_name": "PAUL",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "16072",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1160720",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.