Active NPI
John M Garofalo, MD
- Gynecology Physician
- Norwalk, CT
National Provider Identifier
1811096647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 024558
- Practice address
- 30 Stevens St
Suite a
Norwalk, CT 06850 - Phone
- (203) 855-3535
- Fax
- (203) 855-3797
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 024558 | CT | Primary |
Addresses
Primary practice location
30 Stevens St
Suite a
Norwalk, CT 06850
Mailing address
30 Stevens St
Suite a
Norwalk, CT 06850
Phone (203) 855-3535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001245588 | Medicaid | CT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 024558 | CT | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1811096647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 STEVENS ST",
"address_2": "SUITE A",
"city": "NORWALK",
"state": "CT",
"postal_code": "06850",
"telephone_number": "203-855-3535",
"fax_number": "203-855-3797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 STEVENS ST",
"address_2": "SUITE A",
"city": "NORWALK",
"state": "CT",
"postal_code": "06850",
"telephone_number": "203-855-3535",
"fax_number": "203-855-3797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAROFALO",
"first_name": "JOHN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CT",
"license": "024558",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001245588",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.