NPIMap

Organization Active NPI

Mark a. Perrotti,M.D.LLC

  • Internal Medicine Physician
  • Branford, CT
National Provider Identifier
1982637823
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
037644 Issued in CT
Legal business name
MARK A. PERROTTI,M.D.LLC
Practice address
251 W Main St
Branford, CT 06405-4047
Phone
(203) 481-0077
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Anthony Perrotti, MDNPI 1699723049
Title
President
Phone
(203) 481-0077

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 037644 CT Primary

Addresses

Primary practice location

251 W Main St
Branford, CT 06405-4047

Mailing address

251 W Main St
Branford, CT 06405-4047
Phone (203) 481-0077

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060713000046 CT Part B Supplier - Clinic/Group Practice 1456364579 Receives reassigned benefits from 2 practitioners
Practice locations: Branford, CT

National Provider Directory

National Provider Directory

Locations

251 W Main St
Ste 5
Branford, CT 06405
Phone (203) 481-0077

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982637823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 W MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054047",
            "telephone_number": "203-481-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 W MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054047",
            "telephone_number": "203-481-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. PERROTTI,M.D.LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERROTTI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-481-0077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "037644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.