Active NPI
Lusitana Healthcare, LLC.
- Primary Care Clinic/Center
- Bridgeport, CT
National Provider Identifier
1962683219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 044625
- Legal business name
- LUSITANA HEALTHCARE, LLC.
- Practice address
- 2660 Main St
Suite 205
Bridgeport, CT 06606-5369 - Phone
- (203) 334-2000
- NPI assigned
- Nov 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ana Maria Palhete, M.D.
- Title
- Owner
- Phone
- (203) 334-2000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 044625 | CT | Primary |
Addresses
Primary practice location
2660 Main St
Suite 205
Bridgeport, CT 06606-5369
Mailing address
2660 Main St
Suite 205
Bridgeport, CT 06606-5369
Phone (203) 334-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2660 Main St
Ste 205
Bridgeport, CT 06606
Phone (203) 334-2000
4699 Main St
Ste 102
Bridgeport, CT 06606
Phone (203) 334-2000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1912010158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195084800000",
"number": "1962683219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2660 MAIN ST",
"address_2": "SUITE 205",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066065369",
"telephone_number": "203-334-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2660 MAIN ST",
"address_2": "SUITE 205",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066065369",
"telephone_number": "203-334-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUSITANA HEALTHCARE, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-15",
"last_updated": "2007-11-15",
"status": "A",
"authorized_official_last_name": "PALHETE",
"authorized_official_first_name": "ANA",
"authorized_official_middle_name": "MARIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-334-2000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "CT",
"license": "044625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.