Alfred Cretella, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

124039 Issued in NY

Practice address

11 Grove St
Booth House
New Milford, CT 06776-3626

Phone

(860) 354-5544

Fax

(860) 350-3122

NPI assigned

May 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
  • NPI 1366493868
  NPD
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023
  NPD
• Geisinger Clinic

  • Family Medicine Physician
  • Clarks Summit, PA
  • NPI 1972910354
  NPD

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1881645976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GROVE ST",
            "address_2": "BOOTH HOUSE",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763626",
            "telephone_number": "860-354-5544",
            "fax_number": "860-350-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 GROVE ST",
            "address_2": "BOOTH HOUSE",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763626",
            "telephone_number": "860-354-5544",
            "fax_number": "860-350-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRETELLA",
        "first_name": "ALFRED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "124039",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CT",
            "license": "022754",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001227545",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Cote
• Melissa Cowan
• Nancy L Creal, LCSW
• Robert S. Creal, PH.D.
• Alyce Creiner
• Crossroads Counseling Services
• Andrea H. Csizmadia, P.T.
• Diane D'Isidori, M.D.
• Danbury Hospital
• Danbury Orthopedic Associates PC

• All providers in New Milford, CT
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.