ANGELO MALLOZZI ,MD, PC
NPI 1114762119
Clinic/Center - Primary Care in Stamford, CT
About Angelo Mallozzi ,md, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELO MALLOZZI ,MD, PC (NPI 1114762119) is a healthcare organization registered as a primary care in Stamford, Connecticut and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through July 30, 2028 and lists Angelo Mallozzi, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Angelo Mallozzi ,md, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Angelo Mallozzi ,md, PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Waiver 07D2308583
Angelo Mallozzi, MD, PC · Stamford, CTFrequently 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 Angelo Mallozzi ,md, PC's NPI number?
The NPI number for Angelo Mallozzi ,md, PC is 1114762119. It was assigned to this organization in the NPPES registry on July 1, 2024.
Where is Angelo Mallozzi ,md, PC located?
Angelo Mallozzi ,md, PC is located at 90 Morgan St Ste 102, Stamford, CT 06905. The listed phone number is (203) 273-6311.
What is Angelo Mallozzi ,md, PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Angelo Mallozzi ,md, PC enrolled in Medicare?
Yes. Angelo Mallozzi ,md, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Angelo Mallozzi ,md, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Angelo Mallozzi ,md, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Angelo Mallozzi ,md, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 07D2308583) is associated with this NPI, valid through July 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Angelo Mallozzi ,md, PC was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Angelo Mallozzi ,md, Pc · NPI 1114762119
Primary Care organization in Stamford, Connecticut. Organization record, active in the CMS NPPES registry since July 1, 2024.
## Identity
- **NPI:** 1114762119 (Entity type: Organization)
- **Enumerated:** July 1, 2024
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Angelo Mallozzi, OWNER
## Practice location
- **Address:** 90 MORGAN ST STE 102, Stamford, CT 06905-5436
- **Phone:** (203) 273-6311
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 1, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114762119) · Data from the CMS NPPES public registry.