Robin Kim Lovecchio

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13205 Issued in CT

Practice address

122 Amity Rd
New Haven, CT 06515-1405

Phone

(203) 389-9600

NPI assigned

Jul 7, 2021

Sex

Male

Sole proprietor

Yes

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

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1811568116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 65TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112195512",
            "telephone_number": "347-522-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 AMITY RD",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151405",
            "telephone_number": "203-389-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM LOVECCHIO",
        "first_name": "ROBIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "13205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brigid Kelley Killelea, M.D.
• Bryce Killingsworth, MD
• John Perry Killion, MD
• Stephanie Marcella Kilpatrick, PSY.D.
• Brian D Kiluk, PH.D.
• Alexander Taehoon Kim, MD
• Chungsoo Kim, PHARMD, PHD
• Daniel E Kim, M.D.
• Donald Ho Kim, MD
• Hansik Kim, PHARM.D BCPS BCCCP

• General Practice Dentistry in New Haven, CT
• Providers in New Haven, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.