Active NPI
Lucille A Semeraro, MD
- Pediatrics Physician
- New Haven, CT
National Provider Identifier
1861476632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 023296
- Practice address
- 150 Sargent Dr
Ste 6
New Haven, CT 06511-6110 - Phone
- (203) 781-4321
- Fax
- (203) 781-4329
- NPI assigned
- Dec 5, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 023296 | CT | Primary |
Addresses
Primary practice location
150 Sargent Dr
Ste 6
New Haven, CT 06511-6110
Mailing address
150 Sargent Dr
Ste 6
New Haven, CT 06511-6110
Phone (203) 781-4321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00123966 | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420675200000",
"number": "1861476632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 SARGENT DR",
"address_2": "STE 6",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065116110",
"telephone_number": "203-781-4321",
"fax_number": "203-781-4329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 SARGENT DR",
"address_2": "STE 6",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065116110",
"telephone_number": "203-781-4321",
"fax_number": "203-781-4329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEMERARO",
"first_name": "LUCILLE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-05",
"last_updated": "2015-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "023296",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00123966",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.