DR. ALFRED J PADILLA M.D. NPI 1386623957

NPI Information

NPI: 1386623957
Provider Name: DR. ALFRED J PADILLA, M.D.,
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
56 LAFAYETTE PL
STE A
GREENWICH, CT
ZIP 06830
Phone: (203) 622-9160
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DR. Alfred J Padilla, M.D., is a specialist in Greenwich, CT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Alfred J Padilla, M.D., NPI is 1386623957. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

56 LAFAYETTE PL
STE A
GREENWICH, CT
ZIP 06830-430
Phone: (203) 622-9160
Fax: (203) 661-3887

The enumeration date for this NPI number is 1/12/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		023697	CONNECTICUT	Yes
2	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	23697	CONNECTICUT	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	07D0930087	OTHER	CONNECTICUT	CLIA NUMBER
2	1236975	MEDICAID	CONNECTICUT
3	023697	OTHER	CONNECTICUT	CONNECTICUT LINCENSE #
4	010023697 CT 01	OTHER	CONNECTICUT	BLUE CROSS& BLUE SHIELD #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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