Active NPIIndividual providerSole proprietor

Dr. Peter Bongiorno, ND, LAC

Naturopath in Stamford, Connecticut

NPI Number1104210053
Practice location
1200 High Ridge RD, Stamford, CT 06905-1223
Fax
—
Last updated
May 28, 2026

Peter Bongiorno is a Naturopath based in Stamford, CT. Peter Bongiorno practices in Stamford, CT and has the professional credentials of ND, LAC. The NPI Number for Peter Bongiorno is 1104210053 and holds a License No. 002612-1 (NY). The current practice location address for Peter Bongiorno is 1200 High Ridge RD, Stamford, CT 06905-1223 and can be reached out via phone at 929-379-0927.

Provider Profile Details

NPI Number
1104210053
Provider Name
Peter Bongiorno
Credential
ND, LAC
Provider Entity Type
Individual
Gender
Male
Address
1200 High Ridge RD, Stamford, CT 06905-1223
Phone Number
929-379-0927
Primary Taxonomy
Naturopath · 175F00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 27, 2015
Last Update Date
May 28, 2026
Certification Date
May 28, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 High Ridge RD
Stamford, CT 06905-1223
Zip
06905-1223
Phone Number
929-379-0927
Stamford, CT 06905Get directions →

Provider Business Mailing Address Details

Address
610 Breton Way
Glen Cove, NY 11542-2665
City
Glen Cove
State
NY
Zip
11542-2665
Phone Number
917-710-6852

License Information

License Number (1)
002612-1
License State (1)
NY
Taxonomy (1)
Acupuncturist · 171100000X
License Number (2)
NT00001298
License State (2)
WA
Taxonomy (2)
Naturopath · 175F00000X
License Number (3)
736
License State (3)
CT
Taxonomy (3)
Naturopath · 175F00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Peter Bongiorno, ND, LAC?

The NPI number of Dr. Peter Bongiorno, ND, LAC is 1104210053. It was assigned on March 27, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Peter Bongiorno, ND, LAC?

Dr. Peter Bongiorno, ND, LAC is registered under the primary taxonomy Naturopath (code 175F00000X), licensed in NY under license number 002612-1.

Where does Dr. Peter Bongiorno, ND, LAC practice?

The practice location is 1200 High Ridge RD, Stamford, CT 06905-1223. The office can be reached at 929-379-0927 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104210053 directly on the NPPES registry website.

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