NPIMap

Individual provider Active NPI

Nicole Altorelli

  • Internal Medicine Physician
  • New Preston, CT
National Provider Identifier
1962814673
Registry record updated Oct 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
56505 Issued in CT
Practice address
125 New Milford Tpke
New Preston, CT 06777-1703
Phone
(860) 868-7318
NPI assigned
May 29, 2014
Last updated
Oct 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 56505 CT Primary

Addresses

Primary practice location

125 New Milford Tpke
New Preston, CT 06777-1703

Mailing address

125 New Milford Tpke
New Preston, CT 06777-1703
Phone (860) 868-7318

Other practice location 1

39 Park Lane Rd Ste 4
New Milford, CT 06776-2923
Phone (860) 868-7318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180719001531 CT Practitioner - General Practice 5193044006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Rochester School of Medicine and Dentistry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Altorelli Health LLCGroup PAC ID 8921355157, 3 clinicians

Practice addresses (Care Compare)

125 New Milford Tpke
New Preston, CT 06777-1703
Phone (860) 868-8932

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.99 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
69.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Altorelli Health, LLC Internal Medicine CurrentSince Jun 24, 2018 Accepting new patients

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729382400000",
    "number": "1962814673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 NEW MILFORD TPKE",
            "city": "NEW PRESTON",
            "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",
            "state": "CT",
            "postal_code": "067771703",
            "telephone_number": "860-868-7318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 Park Lane Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "New Milford",
            "state": "CT",
            "postal_code": "067762923",
            "country_code": "US",
            "telephone_number": "860-868-7318",
            "fax_number": "860-868-7310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTORELLI",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2024-10-20",
        "certification_date": "2024-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "56505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Preston, CT

Sources for this page

Verify at the official NPI Registry.