Active NPI
Ronald S. Perpetua, DNP
- Gerontology Nurse Practitioner
- North Haven, CT
National Provider Identifier
1750808994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 7165
- Practice address
- 107 Bassett Rd
North Haven, CT 06473-1902 - Phone
- (203) 285-0623
- NPI assigned
- Aug 28, 2017
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 7165 | CT | Primary |
Addresses
Primary practice location
107 Bassett Rd
North Haven, CT 06473-1902
Mailing address
PO Box 873
North Haven, CT 06473-0873
Phone (203) 285-0623
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7165 | CT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503878400000",
"number": "1750808994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 873",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "064730873",
"telephone_number": "203-285-0623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 BASSETT RD",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "064731902",
"telephone_number": "203-285-0623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERPETUA",
"first_name": "RONALD",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "DNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-28",
"last_updated": "2017-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CT",
"license": "7165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.