ILLUME FERTILITY, PLLC
NPI 1013086727
Obstetrics & Gynecology - Reproductive Endocrinology in Norwalk, CT

Active since November 07, 2006CLIA 07D0973463 · Certificate of Compliance
761 MAIN AVE, SUITE 200, NORWALK, CT 06851(203) 750-7400(203) 846-9579 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 1, 2022, Jan 20, 2022, Jan 10, 2022 (3 updates tracked since 2022).

About Illume Fertility, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILLUME FERTILITY, PLLC (NPI 1013086727), doing business as Reproductive Medicine Associates Of Connecticut, Pc, is a healthcare organization registered as a reproductive endocrinology in Norwalk, Connecticut and active in the NPI registry since November 2006. The organization holds a CLIA Certificate of Compliance certificate valid through December 8, 2027 and lists Robin Mangieri, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013086727
Entity TypeOrganization
Primary Taxonomy207VE0102X
Legal Business NameILLUME FERTILITY, PLLC
Location Address761 MAIN AVE, SUITE 200Norwalk, CT 06851-1080
Mailing Address761 Main Ave, Suite 200Norwalk, CT 06851-1080 · (203) 750-7400 · Fax (203) 846-9579
Fax(203) 846-9579
Organization SubpartNo
Authorized OfficialRobin MangieriCeo · (203) 912-3137
Enumeration DateNovember 7, 2006
Last NPPES UpdateMarch 1, 20223 updates tracked since enumeration
NPPES CertifiedMarch 1, 2022
NPI 1013086727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code207VE0102X
Definition
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
761 MAIN AVE, Norwalk, CT 06851

Other Names 1

Former Legal Business NameReproductive Medicine Associates Of Connecticut, Pc

Other Identifiers 1

Other753059794CT · Tax Identification Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 07D0973463

Illume Fertility · Norwalk, CT
Active · expires Dec 8, 2027
CLIA Number07D0973463
Laboratory TypePhysician Office
Certificate Effective DateDecember 9, 2025
Certificate Expiration DateDecember 8, 2027
Laboratory DirectorMark P. Leondires
Laboratory Phone(203) 750-7434
Laboratory LocationIllume Fertility761 Main Ave, Ste 200, Norwalk, CT 06851
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
761 MAIN AVE, SUITE 102
NORWALK, CT 06851
Clinic/Center (Ambulatory Fertility Facility)
761 MAIN AVE, SUITE 200
NORWALK, CT 06851
Physician Assistant
761 MAIN AVE, SUITE 101
NORWALK, CT 06851
Obstetrics & Gynecology (Reproductive Endocrinology)
761 MAIN AVE, SUITE 200
NORWALK, CT 06851
Internal Medicine (Endocrinology, Diabetes & Metabolism)
761 MAIN AVE, SUITE 201
NORWALK, CT 06851
Dermatology
761 MAIN AVE, SUITE 102
NORWALK, CT 06851
Surgery (Surgical Oncology)
761 MAIN AVE, SUITE 203
NORWALK, CT 06851
Internal Medicine
761 MAIN AVE, SUITE 201
NORWALK, CT 06851

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Illume Fertility, PLLC's NPI number?

The NPI number for Illume Fertility, PLLC is 1013086727. It was assigned to this organization in the NPPES registry on November 7, 2006. The provider was formerly known as Reproductive Medicine Associates Of Connecticut, PC.

Where is Illume Fertility, PLLC located?

Illume Fertility, PLLC is located at 761 Main Ave Suite 200, Norwalk, CT 06851. The listed phone number is (203) 750-7400.

What is Illume Fertility, PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

Does Illume Fertility, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 07D0973463) is associated with this NPI, valid through December 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Illume Fertility, PLLC was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.