Organization Active NPI

Patricia Lampugnale, D.O., LLC

  • Family Medicine Physician
  • Glastonbury, CT
National Provider Identifier
1922200559
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
000397 Issued in CT
Legal business name
PATRICIA LAMPUGNALE, D.O., LLC
Practice address
31 Sycamore St
Suite 201-B
Glastonbury, CT 06033-4540
Phone
(860) 659-0629
Fax
(860) 714-6698
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Dr. Patricia Lampugnale, D.O.
Title
Physician
Phone
(860) 659-0629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 000397 CT Primary

Addresses

Primary practice location

31 Sycamore St
Suite 201-B
Glastonbury, CT 06033-4540

Mailing address

31 Sycamore St
Suite 201-B
Glastonbury, CT 06033-4540
Phone (860) 659-0629

Other identifiers 1

IdentifierTypeStateIssuer
04214342MedicaidCT

National Provider Directory

National Provider Directory

Locations

31 Sycamore St
Glastonbury, CT 06033
Phone (860) 409-1507

31 Sycamore St
Ste 201B
Glastonbury, CT 06033
Phone (860) 633-3788

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1922200559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SYCAMORE ST",
            "address_2": "SUITE 201-B",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334540",
            "telephone_number": "860-659-0629",
            "fax_number": "860-714-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SYCAMORE ST",
            "address_2": "SUITE 201-B",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334540",
            "telephone_number": "860-659-0629",
            "fax_number": "860-714-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA LAMPUGNALE, D.O., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "LAMPUGNALE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "860-659-0629",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "000397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04214342",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.