Individual provider Active NPI

Regina M Palazzo, MD

  • Pediatric Pulmonology Physician
  • Branford, CT
National Provider Identifier
1801862602
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
034923 Issued in CT
Practice address
6 Business Park Dr
202
Branford, CT 06405-2988
Phone
(203) 208-2395
Fax
(203) 433-4638
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X 034923 CT Primary

Addresses

Primary practice location

6 Business Park Dr
202
Branford, CT 06405-2988

Mailing address

6 Business Park Dr
202
Branford, CT 06405-2988
Phone (203) 208-2395

Other identifiers 1

IdentifierTypeStateIssuer
001349233MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040908000306 CT Practitioner - Pulmonary DiseasePractitioner - Pediatric MedicinePractitioner - Peripheral Vascular Disease 6406822832 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Peripheral Vascular Disease
Education
Temple University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6 Business Park Dr
Branford, CT 06405-2988
Phone (203) 208-2395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
034923CTMDPediatric Pulmonology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital for Special Care CurrentSince Jul 1, 2015 Accepting new patients
Nutmeg Pediatric Pulmonary Services LLC Pediatric Pulmonology CurrentSince Feb 28, 2013 Accepting new patients
Nutmeg Pediatric Pulmonary Services Pediatric Pulmonology Past Accepting new patients
Pulmonary Associates of Newhaven PC Past Accepting new patients

Locations

6 Business Park Dr
Ste 202
Branford, CT 06405
Phone (203) 208-2395

2150 Corbin Ave
New Britain, CT 06053
Phone (860) 223-2761

Interoperability endpoints

  • FHIR API: https://fhir.hfsc.org/R4/open-Prod
  • Direct secure messaging: rpalazzo4183@direct.ynhh.org

Organizations & group practices 4

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1801862602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BUSINESS PARK DR",
            "address_2": "202",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052988",
            "telephone_number": "203-208-2395",
            "fax_number": "203-433-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BUSINESS PARK DR",
            "address_2": "202",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052988",
            "telephone_number": "203-208-2395",
            "fax_number": "203-433-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAZZO",
        "first_name": "REGINA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "CT",
            "license": "034923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001349233",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

Verify at the official NPI Registry.