DR. SCOTT J MERKELSON (NPI# 1023162955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023162955 |
| Entity Type | Individual |
| Full Name | DR. SCOTT J MERKELSON |
| Credential | D.M.D. |
| Practice Address |
34 Jerome Ave Suite 112 Bloomfield CT 06002-2463 |
| Practice Telephone | 8602420590 |
| Practice Fax Number | 8602420873 |
| Mailing Telephone | 8602420590 |
| Mailing Fax Number | 8602420873 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4583 | CT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | LICENSE NUMBER | 4583 | 01 |
| Street Address |
34 JEROME AVE SUITE 112 |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002-2463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033291620 | Kristin Godiksen | Physical Therapist | 34 Jerome Ave, Bloomfield, CT 06002-2463 | 2006-10-20 |
| 1558863332 | Lynda Dunlop Aprn | Community/Behavioral Health | 34 Jerome Ave, Suite 116, Bloomfield, CT 06002-2463 | 2018-03-07 |
| 1043719776 | Bruce Rothschild, M.d., Pllc | Psychiatry & Neurology | 34 Jerome Ave, Bloomfield, CT 06002-2463 | 2018-02-08 |
| 1699207803 | Esther Mwangi | Social Worker | 34 Jerome Ave, Suite 218, Bloomfield, CT 06002-2463 | 2017-03-28 |
| 1326492752 | Jeffrey Dudek | Massage Therapist | 34 Jerome Ave, Suite 320, Bloomfield, CT 06002-2463 | 2016-04-22 |
| 1821456351 | Camille Nicolette Roye-fisher | Home Health | 34 Jerome Ave, Suite 301, Bloomfield, CT 06002-2463 | 2016-01-28 |
| 1326413741 | Care for You LLC | Home Health | 34 Jerome Ave, Suite 301, Bloomfield, CT 06002-2463 | 2015-12-10 |
| 1538569835 | Behavioral Healthcare Pathways LLC | Counselor | 34 Jerome Ave, Suite 218, Bloomfield, CT 06002-2463 | 2014-08-25 |
| 1417374463 | Integrative Wellness and Physical Therapy, P.C. | Physical Therapist | 34 Jerome Ave, Suite 305, Bloomfield, CT 06002-2463 | 2014-03-27 |
| 1366657215 | Joyce Chung Quiros | Chiropractor | 34 Jerome Ave, Suite 305, Bloomfield, CT 06002 | 2007-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558908897 | Duncaster, Inc. | Clinic/Center | 30 Loeffler Rd., Bloomfield, CT 06002 | 2019-12-05 |
| 1104467919 | Caroline Suzanne Carey Oesch | Counselor | 71 West Dudley St, Bloomfield, CT 06002 | 2019-10-02 |
| 1679047534 | Inspire Me, LLC | Counselor | 1-2 Camelot Drive, Bloomfield, CT 06002 | 2019-01-14 |
| 1508348947 | Rebecca Perry | Student in an Organized Health Care Education/Training Program | 693 Bloomfield Avenue, Bloomfield, CT 06002 | 2018-09-01 |
| 1760996946 | Monique Edwards | Social Worker | 705 New Briatin Ave, Chd, Bloomfield, CT 06002 | 2017-11-27 |
| 1225564412 | Merva E Dixon | Nurse Practitioner | 38 Hill Farm Rd, Bloomfield, CT 06002 | 2017-05-07 |
| 1538602610 | Jaime Acevedo | Counselor | 571 Bloomfield Ave, Bloomfield, CT 06002 | 2016-11-22 |
| 1669835138 | Jacob Badura | Pharmacist | 799-824 Park Ave, Bloomfield, CT 06002 | 2016-04-01 |
| 1316283328 | Julie Jason Farrelly | Counselor | 45 Wintonbury Ave Ste 102, Bloomfield, CT 06002 | 2012-12-19 |
| 1184915860 | Rachel Benedetto Scott | Surgery | 6 Northwestern Drive, Suite 305, Bloomfield, CT 06002 | 2011-04-28 |
| Find all providers in zip 06002 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023500030 | Jeffrey D Haimson Dmd | Dentist | 1018 Broad St Ste 4, Bloomfield, NJ 07003-2884 | 2018-06-05 |
| 1134648660 | Kushan K Shah | Dentist | 2 Wintonbury Mall Ste 5, Bloomfield, CT 06002-2466 | 2017-09-15 |
| 1245583798 | Bloomfield Family Dental, PC | Dentist | 2 Wintonbury Mall # 5, Bloomfield, CT 06002-2466 | 2012-10-22 |
| 1023344181 | Sundance Dental Care of Bloomfield, LLC. | Dentist | 100 South First Street, Bloomfield, NM 87413 | 2009-10-26 |
| 1861648768 | Qiaomei Yan | Dentist | 800 Cottage Grove Rd # Set311, Bloomfield, CT 06002-3064 | 2008-08-11 |
| 1467626721 | Anthony V. Parrillo | Dentist | 171 Willard Ave, Bloomfield, NJ 07003-4800 | 2008-04-17 |
| 1457547937 | Elizabeth Sandoval | Dentist | 1025 Broad St Ste 3, Bloomfield, NJ 07003-2844 | 2007-09-19 |
| 1548463680 | Anthony Gerard Devincentis | Dentist | 1218 Broad St, Bloomfield, NJ 07003-3031 | 2007-06-07 |
| 1578684742 | Robert Lewis Adams | Dentist | 12 Carnoustie Cir., Bloomfield, CT 06002 | 2007-04-03 |
| 1720130024 | Lori A Haines | Dentist | 112 Fairfield Hill, Bloomfield, KY 40008 | 2007-01-17 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 06002 |
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| 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.