GERALD MICALIZZI, M.D., LLC (NPI# 1487997581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487997581 |
| Entity Type | Organization |
| Organization Name | GERALD MICALIZZI, M.D., LLC |
| Practice Address |
558 Fairview Avenue Bridgeport CT 06606 |
| Practice Telephone | 2033740793 |
| Mailing Telephone | 2032602493 |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2014-05-14 |
| Authorized Official Name | DR. GERALD JOSEPH MICALIZZI (PRESIDENT) |
| Authorized Official Telephone | 2032602493 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
225913-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
558 FAIRVIEW AVENUE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1164728325 | Irene Rivera | Social Worker | 5 Pinepoint Drive, Bridge Port, CT 06606 | 2011-02-07 |
| Find all providers in zip 06606 | ||||
| Taxonomy Code | 2085U0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Ultrasound |
| A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649787029 | Emil Danailov | Radiology | 373 South St, Plymouth, CT 06782-2421 | 2018-01-06 |
| 1396779237 | Advanced Mobile Imaging, LLC | Radiology | 75 New Haven Ave, Milford, CT 06460-4854 | 2006-07-10 |
| 1023501558 | A-group Imaging LLC | Radiology | 48 New St, Wilton, CT 06897-4919 | 2018-06-09 |
| 1003303272 | Michelle Queena Day | Radiology | 950 Campbell Ave, West Haven, CT 06516-2770 | 2018-04-13 |
| 1801921630 | Burgess Health Associates, LLC | Radiology | 460 Smith St, Middletown, CT 06457-1594 | 2007-02-22 |
| 1053462192 | Radiology Associates of Hartford PC | Radiology | 500 Blue Hills Ave, Hartford, CT 06112-1500 | 2007-01-16 |
| City | BRIDGEPORT |
| Zip Code | 06606 |
Please comment or provide details below to improve the information on GERALD MICALIZZI, M.D., LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.