IndividualActive
Michael Corjulo, C.P.N.P.
NPI 1790796647 · Pediatric Nurse Practitioner · Hamden, CT
Provider details
- NPI number
- 1790796647
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- C.P.N.P.
- Sex
- Male
- Sole proprietor
- No
- License
- 002019 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
299 Washington Ave Ste Ll
Hamden, CT 06518-3039
Phone: (203) 288-4288
Fax: (203) 288-1566
Street-level locationGet directions
Mailing address
299 Washington Ave
Hamden, CT 06518-3026
Registry dates
- Enumerated
- 2006-08-10
- Last updated
- 2021-05-03
- Certified
- 2021-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.