Edward C. Corsello D.C. L.L.C

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

001562 Issued in CT

Legal business name

EDWARD C. CORSELLO D.C. L.L.C

Practice address

3333 Main St
Stratford, CT 06614-4861

Phone

(203) 381-1800

Fax

(203) 381-1801

NPI assigned

Oct 12, 2007

Last updated

Nov 6, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward Corsello, D.C.NPI 1649337452

Title

Owner/Doctor

Phone

(203) 381-1800

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward Corsello, D.C

  • Internist Chiropractor
  • Stratford, CT
  • NPI 1649337452
  Authorized official Same address or phone

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1922296110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144861",
            "telephone_number": "203-381-1800",
            "fax_number": "203-381-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144861",
            "telephone_number": "203-381-1800",
            "fax_number": "203-381-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD C. CORSELLO D.C. L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "CORSELLO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "203-381-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "CT",
            "license": "001562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID",
            "identifier": "P3570853",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT CARE PAYER ID",
            "identifier": "06105",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID",
            "identifier": "050001562CT04",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET PROVIDER ID",
            "identifier": "CV9313",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Dzialo, DMD
• Maurice E Legare, COTA/L
• Maurita A. Eaton, PA-C
• Ebenezer Home Care LLC
• Matthew Henry Ederle, PA-C
• Efficient Aides Agency
• Barbara A Eiben, CSW
• Elephant on the Couch
• Cynthia Eliezer, LPC
• Elm Street Dental (Dental Smiles)

• Internist Chiropractor in Stratford, CT
• Providers in Stratford, CT by specialty
• Internist Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.