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FAMILY PRACTICE & INTERNAL MEDICINE, LLC
NPI 1902095003
Internal Medicine in North Haven, CT

Active since October 15, 2007CLIA Certified · 2 labs
52 WASHINGTON AVE, SUITE 4, NORTH HAVEN, CT 06473(203) 672-2800(203) 672-2801 Get Directions Write a Review

NPPES record last updated: May 31, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Family Practice & Internal Medicine, Llc NPPES

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

FAMILY PRACTICE & INTERNAL MEDICINE, LLC (NPI 1902095003) is a healthcare organization registered as an internal medicine in North Haven, Connecticut and active in the NPI registry since October 2007. The organization holds 2 active CLIA laboratory certificates and lists Fausto Petruzziello, Owner, as its authorized official.

NPPES Registry Identity

NPI1902095003
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFAMILY PRACTICE & INTERNAL MEDICINE, LLC
Location Address52 WASHINGTON AVE, SUITE 4North Haven, CT 06473-1724
Mailing Address52 Washington Ave, Suite 4North Haven, CT 06473-1724 · (203) 672-2800 · Fax (203) 672-2801
Phone(203) 672-2800
Fax(203) 672-2801
Organization SubpartNo
Authorized OfficialFausto PetruzzielloOwner · (203) 672-2800
Enumeration DateOctober 15, 2007
Last NPPES UpdateMay 31, 2012
✔ NPI 1902095003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
52 WASHINGTON AVE, North Haven, CT 06473
Open in Google Maps ↗

Other Identifiers 3

Medicaid500000049CT
OtherDG5581CT · Railroad Medicare
Medicare PINC03810CT

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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 07D1070751

Family Practice And Internal Medicine, LLC D/B/A Caremedica · North Haven, CT
Active · expires Jul 8, 2027
CLIA Number07D1070751
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2025
Certificate Expiration DateJuly 8, 2027
Laboratory DirectorFausto Petruzziello
Laboratory Phone(203) 672-2800
Laboratory LocationFamily Practice And Internal Medicine, LLC D/B/A Caremedica52 Washington Ave, Ste 4, North Haven, CT 06473
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 07D0928269

Family Practice Internal Medicine, LLC D/B/A - Caremedica · North Haven, CT
Active · expires Aug 17, 2026
CLIA Number07D0928269
Laboratory TypePhysician Office
Certificate Effective DateAugust 18, 2024
Certificate Expiration DateAugust 17, 2026
Laboratory DirectorMary Hubbard
Laboratory Phone(203) 672-2800
Laboratory LocationFamily Practice Internal Medicine, LLC D/B/A - Caremedica451 State St, North Haven, CT 06473
CLIA data matches this NPI record on: Name Phone
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 11

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

ANTONIO D.S. LOPEZ M.D.
Internal Medicine
52 WASHINGTON AVE, SUITE 4
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 672-2800
SYNERGY REHABILITATION LLC
Physical Therapist
52 WASHINGTON AVE, SUITE 4
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 691-0961
REBECCA JUDE GRILLO P.A.
Physician Assistant (Medical)
52 WASHINGTON AVE, SUITE 4
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 672-2800
KRIEZEL CHARMEL ERSANDO PRESTA PA-C
Physician Assistant
52 WASHINGTON AVE, SUITE 4
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 672-2800
FAUSTO PETRUZZIELLO MD
Internal Medicine
52 WASHINGTON AVE, SUITE 4
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 672-2800
MR. NIKIT Y SHAH PA-C
Physician Assistant (Medical)
52 WASHINGTON AVE, SUITE 4
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 672-2800
BARBARA BACAL RD
Dietitian, Registered
52 WASHINGTON AVE
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 672-2800
ASSUNTA MARIA SANDOR P.A.
Physician Assistant (Medical)
52 WASHINGTON AVE, SUITE 4
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 672-2800

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 Family Practice & Internal Medicine, LLC's NPI number?

The NPI number for Family Practice & Internal Medicine, LLC is 1902095003. It was assigned to this organization in the NPPES registry on October 15, 2007.

Where is Family Practice & Internal Medicine, LLC located?

Family Practice & Internal Medicine, LLC is located at 52 Washington Ave Suite 4, North Haven, CT 06473. The listed phone number is (203) 672-2800.

What is Family Practice & Internal Medicine, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Family Practice & Internal Medicine, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Family Practice & Internal Medicine, LLC was last updated on May 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.