Deactivated NPI 1700889094 Deactivated / Inactive NPI Male Practitioner

Dr. Robert J Patrignelli , MD

Dermatology • Trumbull, CT

✓ Accepts Medicare Assignment

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Patrignelli has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 31, 2005

NPI Deactivation Date March 20, 2006

Total Practice Duration ~15 Years of Practice (1991 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Patrignelli, MD was a registered Dermatology in Trumbull, CT. Prior to record deactivation on 2006-03-20, Dr. Patrignelli completed approximately 15 years of clinical practice following graduation from Georgetown University School Of Medicine in 1991.

Dr. Patrignelli accepted Medicare assignment.

Historical Medicare Part B clinical services included destruction of precancer skin growth, 2-14 growths, biopsy of related skin growth, tangential biopsy of single skin lesion. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

965 White Plains Rd

Trumbull, CT 066114566

Telephone 2032610800

Fax 2032682668

Associated Practice Facility / Clinic

🏢 Associates In Internal Medicine Facility NPI 1376649327

Medicare Profile & Education

Medical School

Georgetown University School Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Trumbull, CT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +4.8 yrs vs City Avg

City Avg: 30.2 Yrs

State Avg: 27.6 Yrs

Regional Practice Density

8 Specialists

Practicing in Trumbull, CT (261 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

33.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patrignelli (35 Years) 35 Yrs

Trumbull Specialty Average (30.2 Years) 30.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,549	478	$16.04	$7.14
11103 Biopsy of related skin growth, each additional growth	1,139	466	$82.44	$53.99
11102 Tangential biopsy of single skin lesion	965	611	$149.85	$107.44
17000 Destruction of skin growth	828	516	$101.28	$42.48
99213 Established patient office or other outpatient visit, typically 15 minutes	810	530	$125.02	$95.69
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	158	14	$5.00	$0.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	134	114	$100.00	$60.36
99202 New patient office or other outpatient visit, typically 20 minutes	67	67	$114.10	$76.13
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	36	35	$339.86	$227.57
11755 Biopsy of fingernail or toenail	34	28	$166.47	$128.80
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	29	26	$354.48	$249.41
11640 Removal of malignant growth (0.5 centimeters or less) of the face, ears, eyelids, nose, or lips	19	17	$309.32	$201.66
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	16	15	$221.25	$147.18
17004 Destruction of precancer skin growth, 15 or more growths	15	15	$319.67	$179.23
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	15	14	$365.00	$237.99
11600 Removal of malignant growth (0.5 centimeters or less) of the trunk, arms, or legs	15	15	$316.67	$212.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$156.33	$118.19
11900 Injection into skin growth, 1-7 growths	13	11	$83.46	$54.71
11621 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	13	12	$332.38	$237.58
11400 Removal of growth (0.5 centimeters or less) of the trunk, arms or legs	11	11	$187.27	$125.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,556	467	$25.00	$7.29
11103 Biopsy of related skin growth, each additional growth	865	412	$73.02	$54.73
11102 Tangential biopsy of single skin lesion	857	559	$145.92	$109.59
17000 Destruction of skin growth	808	513	$120.00	$43.18
99213 Established patient office or other outpatient visit, typically 15 minutes	537	416	$125.00	$95.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	363	287	$100.00	$60.19
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	116	15	$5.00	$1.07
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	53	49	$375.94	$263.03
11755 Biopsy of fingernail or toenail	39	34	$150.00	$129.13
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$140.00	$77.12
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	23	22	$400.00	$218.34
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	19	18	$350.00	$213.37
10060 Simple or single drainage of skin abscess	18	17	$175.00	$135.97
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	17	$500.00	$290.07
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	14	$250.00	$180.25
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	13	$400.00	$302.14
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	12	11	$200.00	$143.30
17004 Destruction of precancer skin growth, 15 or more growths	11	11	$350.00	$184.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,691	459	$25.07	$7.50
11102 Tangential biopsy of single skin lesion	851	554	$126.79	$112.25
11103 Biopsy of related skin growth, each additional growth	799	372	$61.31	$56.47
17000 Destruction of skin growth	792	490	$120.00	$42.59
99213 Established patient office or other outpatient visit, typically 15 minutes	760	515	$102.86	$97.32
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	91	13	$5.00	$1.15
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	51	47	$375.00	$261.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$160.00	$120.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	34	$145.00	$138.60
11042 Removal of skin and tissue, 20.0 sq cm or less	28	11	$150.00	$141.83
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	25	25	$350.00	$237.23
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	23	23	$450.00	$271.94
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	23	22	$400.00	$239.67
11755 Biopsy of fingernail or toenail	20	20	$150.00	$136.24
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	16	15	$400.00	$306.24
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	16	16	$200.00	$141.85
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	15	$250.00	$184.96
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	13	$500.00	$295.32
11621 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	12	12	$425.00	$210.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	5,415	533	$25.00	$7.27
11103 Biopsy of related skin growth, each additional growth	1,013	463	$60.19	$58.75
11102 Tangential biopsy of single skin lesion	959	619	$125.00	$114.19
17000 Destruction of skin growth	932	551	$120.00	$41.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	631	451	$145.00	$140.12
99213 Established patient office or other outpatient visit, typically 15 minutes	336	214	$100.00	$98.67
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	216	14	$5.00	$1.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	108	108	$160.00	$120.36
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	50	50	$375.00	$266.67
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	36	31	$500.00	$295.87
11755 Biopsy of fingernail or toenail	34	33	$150.00	$129.44
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	34	33	$400.00	$246.98
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	26	24	$400.00	$299.51
11901 Injection into skin growth, more than 7 growths	18	11	$125.00	$75.21
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	17	16	$250.00	$187.09
10060 Simple or single drainage of skin abscess	12	11	$175.00	$136.62
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	12	11	$350.00	$236.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	5,168	510	$25.00	$6.68
11103 Biopsy of related skin growth, each additional growth	1,230	477	$60.00	$59.16
11102 Tangential biopsy of single skin lesion	933	590	$125.00	$109.21
17000 Destruction of skin growth	885	532	$120.00	$40.71
99213 Established patient office or other outpatient visit, typically 15 minutes	600	455	$100.00	$81.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	305	208	$80.00	$49.78
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	237	17	$80.00	$79.41
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	107	89	$175.00	$149.98
99202 New patient office or other outpatient visit, typically 20 minutes	79	79	$120.00	$81.25
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	43	40	$190.00	$171.84
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	42	33	$160.00	$87.05
11755 Biopsy of fingernail or toenail	36	34	$150.00	$129.46
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	36	34	$175.00	$129.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$160.00	$113.49
11042 Removal of skin and tissue, 20.0 sq cm or less	21	12	$150.00	$136.38
29580 Strapping, unna boot	20	11	$100.00	$36.87
10060 Simple or single drainage of skin abscess	15	15	$175.00	$129.69
11730 Simple separation of fingernail or toenail from nail bed, first nail	14	11	$125.00	$122.29
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	11	11	$150.00	$112.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	7,013	637	$25.00	$6.24
17000 Destruction of skin growth	1,137	656	$119.92	$39.91
11103 Biopsy of related skin growth, each additional growth	1,076	463	$60.00	$58.62
11102 Tangential biopsy of single skin lesion	812	575	$124.99	$106.71
99213 Established patient office or other outpatient visit, typically 15 minutes	747	536	$100.00	$79.68
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	661	22	$80.00	$78.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	364	249	$80.00	$48.75
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	320	173	$115.00	$66.23
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	208	136	$160.00	$92.91
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	148	102	$150.00	$85.67
99202 New patient office or other outpatient visit, typically 20 minutes	106	106	$120.00	$81.76
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	102	79	$175.00	$146.88
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	96	73	$175.00	$129.35
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	70	50	$150.00	$107.07
11042 Removal of skin and tissue, 20.0 sq cm or less	52	16	$150.00	$132.59
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	46	38	$375.00	$249.36
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	45	39	$190.00	$166.15
29580 Strapping, unna boot	44	15	$100.00	$34.80
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	34	32	$130.00	$79.30
11755 Biopsy of fingernail or toenail	32	30	$150.00	$122.93
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	29	27	$180.00	$158.31
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	25	25	$500.00	$299.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$160.00	$116.67
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	14	$250.00	$156.57
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	14	13	$350.00	$153.10
10060 Simple or single drainage of skin abscess	13	12	$175.00	$120.03
11900 Injection into skin growth, 1-7 growths	13	12	$95.00	$43.44
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	11	11	$350.00	$209.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	7,526	725	$25.00	$5.66
17000 Destruction of skin growth	1,296	751	$120.00	$37.91
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	1,071	514	$115.00	$62.93
99213 Established patient office or other outpatient visit, typically 15 minutes	764	559	$100.00	$76.05
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	756	425	$169.37	$100.25
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	713	23	$80.00	$78.77
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	460	288	$150.00	$92.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	361	238	$80.00	$46.09
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	277	191	$175.00	$73.84
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	239	162	$150.00	$113.44
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	179	132	$130.00	$70.85
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	132	96	$375.00	$244.12
99202 New patient office or other outpatient visit, typically 20 minutes	125	125	$120.00	$78.69
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	82	68	$250.00	$158.08
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	69	63	$500.00	$281.40
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	63	51	$175.00	$138.39
11042 Removal of skin and tissue, 20.0 sq cm or less	52	16	$150.00	$118.25
29580 Strapping, unna boot	51	15	$100.00	$36.60
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	40	37	$450.00	$270.67
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	29	25	$400.00	$179.65
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	27	23	$350.00	$126.92
11755 Biopsy of fingernail or toenail	27	21	$150.00	$134.63
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	24	24	$400.00	$246.56
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	21	21	$350.00	$163.63
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	19	18	$400.00	$290.19
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	19	14	$200.00	$102.08
10060 Simple or single drainage of skin abscess	17	16	$175.00	$115.77
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	13	$180.00	$144.46
10061 Complicated or multiple drainage of skin abscess	13	12	$275.00	$218.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	6,806	800	$25.00	$5.83
17000 Destruction of skin growth	1,416	810	$120.00	$36.63
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	1,243	30	$80.00	$74.26
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	955	517	$150.00	$96.79
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	898	474	$115.00	$59.66
99213 Established patient office or other outpatient visit, typically 15 minutes	810	588	$100.00	$73.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	456	305	$80.00	$44.12
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	447	302	$150.00	$84.62
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	385	268	$175.00	$68.00
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	276	196	$150.00	$110.39
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	205	160	$130.00	$64.80
99202 New patient office or other outpatient visit, typically 20 minutes	155	155	$120.00	$74.68
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	124	12	$100.00	$41.54
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	123	90	$375.00	$238.10
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	112	76	$175.00	$131.25
11042 Removal of skin and tissue, 20.0 sq cm or less	110	28	$150.00	$112.67
29580 Strapping, unna boot	105	27	$102.86	$28.57
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	93	82	$500.00	$272.77
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	64	57	$450.00	$259.35
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	39	32	$400.00	$172.50
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	38	35	$250.00	$166.33
11755 Biopsy of fingernail or toenail	36	31	$150.00	$128.05
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	29	28	$400.00	$255.65
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	28	23	$180.00	$137.46
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	24	20	$350.00	$136.92
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	23	21	$400.00	$270.86
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	20	20	$190.00	$161.65
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	20	19	$350.00	$154.83
11730 Simple separation of fingernail or toenail from nail bed, first nail	19	15	$125.00	$93.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$160.00	$109.33
11901 Injection into skin growth, more than 7 growths	18	17	$125.00	$63.49
10060 Simple or single drainage of skin abscess	17	15	$175.00	$112.61

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License CT 033309

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Oxford Provider Number

P1033953 (CT)

Commercial Insurance / Payer ID Health Net Provider Numbe

2V2765 (CT)

Commercial Insurance / Payer ID Aetna Provider Number

2054081 (CT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners

Dr. Stephanie Michaelides , AuD, CCC-A, FAAA

Audiologist

NPI 1124228002

Doctor of Audiology, CCCA, FAAA

Donna Leonardo , MS-CCC-A

Audiologist

NPI 1134267727

MSCCCA

Noel Hewitt

Audiologist

NPI 1316111586

Dr. Savannah Tibbetts , PharmD

Pharmacist

NPI 1386528859

Doctor of Pharmacy (Pharm.D.)

Dr. Michael Waltzman , MD, PhD

Otolaryngology

NPI 1497784995

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

April Umek , PA-C

Physician Assistant

NPI 1518992437

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location July 23, 2007

Registered at 965 WHITE PLAINS RD, TRUMBULL, CT 066114566 (Tel: 2032610800)

📍

Updated Business Mailing Address July 23, 2007

Registered at 965 WHITE PLAINS RD, TRUMBULL, CT 066114566 (Tel: 2032610800)

👤

Provider Name / Credentials Updated July 23, 2007

Recorded as ROBERT PATRIGNELLI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2007

Dermatology (License #033309 in CT)

🔄

NPI Profile Reactivated April 04, 2006

Record officially reactivated for active practice on April 04, 2006

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NPI Profile Deactivated March 20, 2006

Record deactivated on March 20, 2006

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Initial NPI Registration & Enumeration May 31, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1700889094

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 31, 2005

Last Update: July 23, 2007

Deactivation Date: March 20, 2006

Sole Proprietor: No

Update or Correct Profile

Mailing Address

965 White Plains Rd

Trumbull, CT 066114566

Phone: 2032610800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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