DENISSE BURGOS-JIMENEZ


Address: 56 Franklin St, Waterbury, CT 06706
Phone: 8609896067

DENISSE BURGOS-JIMENEZ (NPI# 1013455351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013455351
Entity Type Individual
Full Name DENISSE BURGOS-JIMENEZ
Practice Address 56 Franklin St
Waterbury
CT 06706
Mailing Address 841 New Britain Ave
Hartford
CT 06106-3920
Practice Telephone 8609896067
Enumeration Date 2017-02-07
Last Update Date 2018-06-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 3767 CT Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
3767 CT Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
816 Broad St Ste 24, Meriden, CT 064504350 8883440007 2032381922

Office Location

Street Address 56 FRANKLIN ST
City WATERBURY
State CT
Zip Code 06706

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114929379 Scovill Medical Group, PC Internal Medicine 56 Franklin St, Waterbury, CT 06706-1221 2005-06-01
1528676459 Kate Marie Breiner Physician Assistant 56 Franklin St, Waterbury, CT 06706-1253 2020-07-16
1417575192 Muhammad Tasawar Latif Student in an Organized Health Care Education/Training Program 56 Franklin St, Waterbury, CT 06706-1253 2020-07-09
1013534148 Syed Mustajab Ahmed Student in an Organized Health Care Education/Training Program 56 Franklin St, Waterbury, CT 06706-1253 2020-07-06
1558989681 Brooj Awan Student in an Organized Health Care Education/Training Program 56 Franklin St, Waterbury, CT 06706-1253 2020-07-06
1699398438 Michelle Lauren Yeung Student in an Organized Health Care Education/Training Program 56 Franklin St, Waterbury, CT 06706-1253 2020-05-27
1841810967 Diana Shapoval Physician Assistant 56 Franklin St, Waterbury, CT 06706-1253 2020-04-18
1235768649 Sean Michael Burgwardt Student in an Organized Health Care Education/Training Program 56 Franklin St, Waterbury, CT 06706-1253 2020-04-07
1043849326 Miguel Angel Bravo Jr. Student in an Organized Health Care Education/Training Program 56 Franklin St, Waterbury, CT 06706-1253 2020-04-07
1053948430 Bhavya Vemuri Student in an Organized Health Care Education/Training Program 56 Franklin St, Waterbury, CT 06706-1253 2020-03-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245750538 Sameerah Ibtisam Rehmani Internal Medicine St Mary's Hospital, 56 Franklin Street, Waterbury, CT 06706 2017-06-27
1417208448 Sherry L Gatling Durable Medical Equipment & Medical Supplies 394 Mill Street, 2nd Flr N, Waterbury, CT 06706 2012-10-01
1144505538 Amanda Maria Delcavo Physician Assistant 50 Franklin Street, Waterbury, CT 06706 2011-10-17
1508097031 Lauren K Ayr-volta Clinical Neuropsychologist 133 Scovill Street, Suite 211, Waterbury, CT 06706 2009-07-31
1538206800 John Chardavoyne Psychiatry & Neurology Waterbury Outpatient Clinic, 95 Scovill Street, Waterbury, CT 06706 2007-01-30
1922111632 Thomas Owen Genese Internal Medicine 56 Franklin Street, St. Mary's Hospital - Dept of Medicine, Waterbury, CT 06706 2006-08-16
1013942465 Nancy Lou Kline Nurse Practitioner 133 Scovill Street-waterbury Va Community Based Clinic, #203, Waterbury, CT 06706 2006-07-12
1366823783 Yamini Sachan Internal Medicine 56 Franklin Street, Waterbury, CT 06706 2015-06-11
1962881896 Daniyal Ahmed Ansari Internal Medicine 56 Franklin Street, Saint Mary's Hospital, Waterbury, CT 06706 2015-05-26
1164809885 Vanessa N. Goyes Ruiz Student in an Organized Health Care Education/Training Program 56 Franklin Street, Waterbury, CT 06706 2015-05-01
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609362847 Nancy Elaine Rizza Physician Assistant 1389 W Main St Ste 120, Waterbury, CT 06708-3104 2018-07-10
1154516672 Matthew Letko Physician Assistant 1389 W Main Street, Suite 120, Waterbury, CT 06708-3104 2007-09-07
1851439244 Sara Whipple Coles Physician Assistant 8 S Commons Rd, Waterbury, CT 06704-1035 2007-02-01
1083237861 Shalima Abdalla Physician Assistant 402 E Main St, Waterbury, CT 06702-1701 2020-05-27
1083269575 Leslie Diaz Physician Assistant 141 E Main St, Waterbury, CT 06702-2310 2019-08-02
1053813220 Dylan Stempel Physician Assistant 56 Franklin St, Waterbury, CT 06706-1253 2018-03-05
1538617204 Kayla N Ingram Physician Assistant 56 Franklin St, Waterbury, CT 06706-1238 2016-09-12
1710338058 Jaclyn Milano Physician Assistant 56 Franklin St, Waterbury, CT 06706-1253 2016-06-28
1902255086 Kaitlyn Jennings Physician Assistant 56 Franklin St, Waterbury, CT 06706 2016-06-08
1245613199 Kalin Haley Physician Assistant 56 Franklin St, Waterbury, CT 06706-1253 2015-07-09
Find all providers in WATERBURY

Competitor

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City WATERBURY
Zip Code 06706

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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