Peter Giacomazzi, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

041953 Issued in CT

Practice address

503 Wolcott Rd
Wolcott, CT 06716-2613

Phone

(203) 879-7925

Fax

(203) 879-7935

NPI assigned

May 4, 2006

Last updated

Dec 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: pgiacomazzi42111@direct.stfranciscare.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peter Giacomazzi, MD,LLC

  • Internal Medicine Physician
  • Wolcott, CT
  • NPI 1861834210
  Authorized official Same address or phone
• Prospect CT Medical Foundation, Inc.

  • Family Medicine Physician
  • Manchester, CT
  • NPI 1144677568

  Internal Medicine

  NPD (past)
• Ahs Hospital Corp

  dba AHS Consolidated Labs

  • Clinical Medical Laboratory
  • Morristown, NJ
  • NPI 1871162834
  NPD (past)
• NJ Bariatric Institute LLC

  • Obesity Medicine (Internal Medicine) Physician
  • Morristown, NJ
  • NPI 1194063677
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1710935564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 WOLCOTT RD",
            "address_2": "3RD FLOOR",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "06716",
            "telephone_number": "203-879-8003",
            "fax_number": "203-879-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 WOLCOTT RD",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162613",
            "telephone_number": "203-879-7925",
            "fax_number": "203-879-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIACOMAZZI",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "041953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pgiacomazzi42111@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Trinity Health of New England Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "503 Wolcott Rd",
            "city": "Wolcott",
            "state": "CT",
            "country_code": "US",
            "postal_code": "067162613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pgiacomazzi42111@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "CT direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "503 Wolcott Rd",
            "city": "Wolcott",
            "state": "CT",
            "country_code": "US",
            "postal_code": "067162613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeremy Gagnon
• Robert Gardner, LMT
• Samantha Marie Genovese, DMD
• Gericare
• Gericare Psych LLC (GeriCare Psych)
• Kayleigh Giannini
• Rachel Kathleen Girouard
• Martin B. Goldstein, D.M.D.
• Jeffrey Gonzalez, LPC-A
• Marrhonda Goodwin

• Internal Medicine Physician in Wolcott, CT
• Providers in Wolcott, 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 1, 2021; 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.