Altorelli Health, LLC
Organization Active NPI Internal Medicine Physician · New Preston Marble Dale, CT
NPI 1922536788 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1922536788
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- ALTORELLI HEALTH, LLC
- Practice address
- 125 New Milford Tpke
New Preston Marble Dale, CT 06777-1703 - Phone
- (860) 868-7318
- NPI assigned
- May 24, 2017
- Organization subpart
- No
Authorized official
- Name
- Mr. Brandon Sprague, MBA
- Title
- Owner
- Phone
- (516) 567-6306
Practitioners 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180719001441 | CT | Part B Supplier - Clinic/Group Practice | 8921355157 |
Receives reassigned benefits from 3 practitioners Practice locations: Farmington, CT; New Preston, CT; New Milford, CT |
National Provider Directory
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DHCIAD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | CT | Yes |
Addresses
Primary practice location
125 New Milford Tpke
New Preston Marble Dale, CT 06777-1703
Mailing address
125 New Milford Tpke
New Preston Marble Dale, CT 06777-1703
Phone (860) 868-7318
Other providers in New Preston Marble Dale, CT
All providers in New Preston Marble Dale, CT · Internal Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.