Organization Active NPI

Altorelli Health, LLC

  • Internal Medicine Physician
  • New Preston Marble Dale, CT
National Provider Identifier
1922536788
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 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
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Brandon Sprague, MBA
Title
Owner
Phone
(516) 567-6306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X CT Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Locations

125 New Milford Tpke
New Preston Marble Dale, CT 06777
Phone (860) 868-7318

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHCIAD

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1922536788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 NEW MILFORD TPKE",
            "city": "NEW PRESTON MARBLE DALE",
            "state": "CT",
            "postal_code": "067771703",
            "telephone_number": "860-868-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 NEW MILFORD TPKE",
            "city": "NEW PRESTON MARBLE DALE",
            "state": "CT",
            "postal_code": "067771703",
            "telephone_number": "860-868-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTORELLI HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SPRAGUE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-567-6306",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Preston Marble Dale, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.