Melanie Georgalas, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

030631 Issued in CT

Practice address

25 Constitution Blvd. So
Shelton, CT 06484-1300

Phone

(203) 924-7334

Fax

(203) 922-0004

NPI assigned

Jul 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pediatric Care Associates of Connecticut

  • Pediatric Adolescent Medicine Physician
  • Shelton, CT
  • NPI 1396867958
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1740200088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CONSTITUTION BLVD S",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844351",
            "telephone_number": "203-924-7334",
            "fax_number": "203-922-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CONSTITUTION BLVD. SO",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064841300",
            "telephone_number": "203-924-7334",
            "fax_number": "203-922-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGALAS",
        "first_name": "MELANIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CT",
            "license": "030631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Marion Garrison, M.D.
• Tanina Alexis Gatison
• Jennifer Gatto
• John Gell, D.M.D.
• Michael Francis Genovese, MSW, LCSW
• Patsy Gerckens, P.A.
• Steven L Gersen, PHD
• Jami Joy Gibson, LCSW
• Tracy Gigliotti, LCSW
• Kamraan Zafar Gill

• Pediatric Adolescent Medicine Physician in Shelton, CT
• Providers in Shelton, CT by specialty
• Pediatric Adolescent Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.