DR. RENZO RENZI (NPI# 1912057241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912057241 |
| Entity Type | Individual |
| Full Name | DR. RENZO RENZI |
| Credential | MD |
| Practice Address |
205 Main St East Haven CT 06512-3003 |
| Practice Telephone | 2034059005 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2015-06-24 |
| NPI Deactivation Date | 08/20/2008 |
| NPI Reactivation Date | 2012-04-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
029267 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
205 MAIN ST |
| City | EAST HAVEN |
| State | CT |
| Zip Code | 06512-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184287534 | Megan Elizabeth Scorza | Physician Assistant | 205 Main St, East Haven, CT 06512-3003 | 2019-04-20 |
| 1114472396 | Emily Rose Ryan | Physician Assistant | 205 Main St, East Haven, CT 06512-3003 | 2016-08-17 |
| 1447652193 | Amanda Foti | Physician Assistant | 205 Main St, East Haven, CT 06512-3003 | 2014-09-24 |
| 1518227669 | Advanced Footcare Center | Podiatrist | 205 Main St, East Haven, CT 06512-3003 | 2012-05-23 |
| 1265691620 | Jillian Anderson Perez | Physician Assistant | 205 Main St, East Haven, CT 06512-3003 | 2008-06-02 |
| 1922294990 | Courtney Howard | Physician Assistant | 205 Main St, East Haven, CT 06512-3003 | 2007-09-24 |
| 1598795205 | Fpim of New Haven County,llc | Internal Medicine | 205 Main St, East Haven, CT 06512-3003 | 2006-07-05 |
| 1063454247 | Angelo Accomando | Internal Medicine | 205 Main St, East Haven, CT 06512-3003 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760040489 | Caroline Grace Wajdowicz | Specialist/Technologist | 114 Eddon Drive, East Haven, CT 06512 | 2019-05-29 |
| 1194074070 | Albert Marshall D'onofrio | Dentist | 300 Hemingway Ave., East Haven, CT 06512 | 2012-09-06 |
| 1073654158 | Tom A Davies I | Pharmacist | 392 Hemingway Ave., East Haven, CT 06512 | 2007-02-09 |
| 1346326840 | Susanne E Davis | Counselor | 595 Thompson Avenue, East Haven Counseling & Community Services, East Haven, CT 06512 | 2006-10-27 |
| 1124111828 | Ronald R. Montano | Dentist | 310 Main Street, East Haven, CT 06512 | 2006-10-02 |
| 1518985183 | Town of East Haven East Haven Counseling and Community Services | Clinic/Center | 595 Thompson Ave, East Haven Counseling & Community Services, East Haven, CT 06512 | 2006-07-18 |
| 1386629020 | Michael J. Vandlik, Dmd&associates LLC | Dentist | 280 Main Street, East Haven, CT 06512 | 2005-12-14 |
| 1174507230 | Tarvinder Pal Singh Arora | Dentist | 300 Hemingway Ave, Ste #3, East Haven, CT 06512 | 2005-12-02 |
| 1457342651 | Whispering Pines Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 38 Talmadge Avenue, East Haven, CT 06512 | 2005-11-04 |
| 1407477417 | T & S Home Care Agency LLC | Home Health | 5 Chamberlain Pl, New Haven, CT 06512 | 2020-04-30 |
| Find all providers in zip 06512 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376103762 | Fairfield County Endocrine, LLC | Internal Medicine | 18 Sunnyside Ln, Westport, CT 06880-1710 | 2019-06-18 |
| 1013458447 | James Magner | Internal Medicine | 1022 Field Dr, Woodbridge, CT 06525-2638 | 2017-03-18 |
| 1952754400 | Paul Ryan Charles Sullivan | Internal Medicine | 1093 Prospect Ave, West Hartford, CT 06105-1104 | 2016-07-20 |
| 1740675818 | Vivek Alaigh | Internal Medicine | 29 Hospital Plz Ste 601, Stamford, CT 06902-3602 | 2015-04-05 |
| 1669801619 | Geetika Gupta | Internal Medicine | 1952 Whitney Ave Ste 14, Hamden, CT 06517-1209 | 2013-11-09 |
| 1134562911 | Lori Marie De La Portilla | Internal Medicine | 462 Queen St # 303, Southington, CT 06489-1801 | 2013-04-11 |
| 1346592862 | Kathleen Mary O'connell | Internal Medicine | 9 Stonecrop Ln, Wilton, CT 06897-2405 | 2012-10-08 |
| 1104159037 | Robert Aaron Levine | Internal Medicine | 137 Winthrop Rd, Guilford, CT 06437-1632 | 2009-09-10 |
| 1124209101 | Maryanne Horta Bhojwani | Internal Medicine | 112 Quarry Rd Ste 250, Trumbull, CT 06611-4877 | 2007-11-19 |
| 1366585762 | Ann E Taylor | Internal Medicine | Pfizer, Eastern Point Road, Groton, CT 06340 | 2007-02-15 |
| Find all providers with the same taxonomy | ||||
| City | EAST HAVEN |
| Zip Code | 06512 |
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| 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.