Individual provider Active NPI

Melissa Bertuzzi, FNP-BC

  • Family Nurse Practitioner
  • Stamford, CT
National Provider Identifier
1780067835
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7597 Issued in CT
Practice address
32 Strawberry Hill CT
Stamford, CT 06902
Phone
(203) 890-4459
NPI assigned
Jul 8, 2015
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F339855-1 NY
Family Nurse Practitioner 363LF0000X 7597 CT Primary

Addresses

Primary practice location

32 Strawberry Hill CT
Stamford, CT 06902

Mailing address

22 Wescott St
Old Tappan, NJ 07675-7426
Phone (845) 499-6939

Other practice location 1

55 Hudson Yards Fl 10
New York, NY 10001-2163
Phone (203) 890-2818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160226001175 NY Practitioner - Nurse Practitioner 6507161643 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7597CTMDPharmacist
F339855-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Fagelman, MD, PLLC Single Specialty CurrentSince Jan 25, 2016 Accepting new patients

Locations

155 Spring St
Fl 4
New York, NY 10012
Phone (212) 226-1899

Interoperability endpoints

  • Direct secure messaging: mbertuzzi24150@stamfordhealth.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1780067835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WESCOTT ST",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757426",
            "telephone_number": "845-499-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 STRAWBERRY HILL CT",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06902",
            "telephone_number": "203-890-4459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Hudson Yards Fl 10",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100012163",
            "country_code": "US",
            "telephone_number": "203-890-2818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERTUZZI",
        "first_name": "MELISSA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F339855-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "7597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.