Organization Active NPI

CT Pulmonary, LLC

  • Pulmonary Disease Physician
  • Meriden, CT
National Provider Identifier
1982821385
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
027134 Issued in CT
Legal business name
CT PULMONARY, LLC
Practice address
455 Lewis Ave Ste 206
Meriden, CT 06451-2121
Phone
(203) 238-9446
Fax
(203) 238-9447
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Authorized official

Name
Mrs. Nancy Amoroso
Title
Practice/Billing Manager
Phone
(203) 440-0254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 027134 CT Primary

Addresses

Primary practice location

455 Lewis Ave Ste 206
Meriden, CT 06451-2121

Mailing address

455 Lewis Ave Ste 206
Meriden, CT 06451-2121
Phone (203) 238-9446

Other identifiers 1

IdentifierTypeStateIssuer
004211554MedicaidCT

Other names 1

  • GIOSA AND BROWN PULMONARY ASSOCIATES, LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090818000366 CT Part B Supplier - Clinic/Group Practice 2163576620 Receives reassigned benefits from 6 practitioners
Practice locations: Meriden, CT

National Provider Directory

National Provider Directory

Locations

455 Lewis Ave
Ste 206
Meriden, CT 06451
Phone (203) 238-9446

Practitioners & affiliated clinicians

Practitioners 6

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": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1982821385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 LEWIS AVE STE 206",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064512121",
            "telephone_number": "203-238-9446",
            "fax_number": "203-238-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 LEWIS AVE STE 206",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064512121",
            "telephone_number": "203-238-9446",
            "fax_number": "203-238-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT PULMONARY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "AMOROSO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRACTICE/BILLING MANAGER",
        "authorized_official_telephone_number": "203-440-0254",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "027134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004211554",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GIOSA AND BROWN PULMONARY ASSOCIATES, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Meriden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.