Individual provider Active NPI

Richard Joseph Restifo, MD

  • Specialist
  • New Haven, CT
National Provider Identifier
1720003742
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
033015 Issued in CT
Practice address
59 Elm St
Suite 560
New Haven, CT 06510-2047
Phone
(203) 772-1444
Fax
(203) 907-0503
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 033015 CT Primary

Addresses

Primary practice location

59 Elm St
Suite 560
New Haven, CT 06510-2047

Mailing address

59 Elm St
Suite 560
New Haven, CT 06510-2047
Phone (203) 772-1444

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

LicenseStateTypeSpecialty
033015CTMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720003742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 ELM ST",
            "address_2": "SUITE 560",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102047",
            "telephone_number": "203-772-1444",
            "fax_number": "203-907-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 ELM ST",
            "address_2": "SUITE 560",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102047",
            "telephone_number": "203-772-1444",
            "fax_number": "203-907-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESTIFO",
        "first_name": "RICHARD",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "033015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 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.

Verify at the official NPI Registry.