Individual provider Active NPI

Jennifer Lee Galluzzo

  • Certified Registered Nurse Anesthetist
  • New Haven, CT
National Provider Identifier
1679954721
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
8045 Issued in CT
Practice address
20 York St
New Haven, CT 06510-3220
Phone
(646) 209-8758
NPI assigned
Jun 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 550521-1 NY
Certified Registered Nurse Anesthetist 367500000X 8045 CT Primary

Addresses

Primary practice location

20 York St
New Haven, CT 06510-3220

Mailing address

60 Beard Sawmill Rd Apt 2004a
Shelton, CT 06484-6192
Phone (646) 209-8758

Other names 1

  • Jennifer Lee Telesco Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160115002190 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850694381 Reassigns benefits to 2 organizations
I20190225002206 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850694381 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians
Wilton Anesthesia Associates, LLCGroup PAC ID 3274513288, 16 clinicians

Practice addresses (Care Compare)

267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000

4 Northwestern Dr
Bloomfield, CT 06002-3444
Phone (860) 243-8440

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Registered Nurse

State licenses

LicenseStateTypeSpecialty
8045CTMDProfessional Counselor
550521-1NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Gi PLLC CurrentSince May 1, 2021 Accepting new patients
Yale University CurrentSince Jan 16, 2025 Accepting new patients
Yale University CurrentSince Jan 16, 2025 Accepting new patients
Integrated Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2019 Accepting new patients
Wilton Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2021 Accepting new patients
Memorial Anesthesiology Group Nurse Anesthetist, Certified Registered CurrentSince Nov 13, 2015 Accepting new patients
Planned Parenthood of Southern New England, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
Montefiore Medical Center CurrentSince Feb 18, 2017 Accepting new patients
Montefiore Medical Center CurrentSince Feb 18, 2017 Accepting new patients
Midstate Gastroenterology Specialists PC CurrentSince Oct 1, 2024 Accepting new patients
Yale University Current Accepting new patients

Locations

4 Northwestern Dr
Bloomfield, CT 06002
Phone (860) 243-2969

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571

455 Lewis Ave
Ste 105
Meriden, CT 06451
Phone (203) 237-2477

30 Commerce Park
Milford, CT 06460
Phone (203) 878-0479

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

345 Whitney Ave
New Haven, CT 06511
Phone (203) 503-0450

20 York St
North Haven, CT 06510
Phone (203) 688-2433

761 Main Ave
Ste 200
Norwalk, CT 06851
Phone (203) 290-6553

30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131

100 Beard Sawmill Rd
Ste 250
Shelton, CT 06484
Phone (203) 227-1324

2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375

400 10th St E
Waconia, MN 55387

111 E 210th St
Bronx, NY 10467

1250 Waters Pl
Bronx, NY 10461
Phone (718) 409-9444

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1679954721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 BEARD SAWMILL RD APT 2004A",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846192",
            "telephone_number": "646-209-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "646-209-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLUZZO",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "550521-1",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "8045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "TELESCO",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.