DR. JUSTIN GLENN GORALNIK (NPI# 1134483951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134483951 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN GLENN GORALNIK |
| Credential | M.D. |
| Practice Address |
263 Farmington Ave Farmington CT 06030 |
| Mailing Address |
80 S Main St Ste 204 Middletown CT 06457-3648 |
| Practice Telephone | 8606792000 |
| Mailing Telephone | 6466703749 |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2018-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 61061 | CT | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
61061 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
263 FARMINGTON AVE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879519 | Michael Joseph Giordano | Neurological Surgery | 263 Farmington Ave, Farmington, CT 06030-0001 | 2005-05-24 |
| 1891394995 | Ewa Jaszczolt | Nurse Practitioner | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-10-20 |
| 1295333458 | Brianne Catherine Bischoff | Nurse Practitioner | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-10-10 |
| 1023622073 | Michael John Arciszewski | Perfusionist | 263 Farmington Ave, Farmington, CT 06030-0002 | 2020-09-06 |
| 1073126199 | Esha Bhatt | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06032-1956 | 2020-08-28 |
| 1689286932 | Margaret Darin | Physician Assistant | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-08-18 |
| 1174133656 | Rosa Raquel Huivin | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-08-09 |
| 1336758051 | Sahar Zamani | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-0002 | 2020-07-28 |
| 1083222954 | Gabriela Maria Parra | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-07-16 |
| 1780292680 | Bastian Andres Rojas Espinoza | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821617606 | David Wozny | Student in an Organized Health Care Education/Training Program | General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-13 |
| 1508495185 | Zachary Boivin | Student in an Organized Health Care Education/Training Program | Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-06 |
| 1063903730 | Agura Afiari | Student in an Organized Health Care Education/Training Program | Uconn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030 | 2018-05-29 |
| 1750879474 | Areeba Siddiqui | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue Mc1921, Farmington, CT 06030 | 2018-04-27 |
| 1508362013 | Arya Saniee I | Student in an Organized Health Care Education/Training Program | 264 Farmington Ave, Farmington, CT 06030 | 2018-04-03 |
| 1679828594 | Randall Morera | Student in an Organized Health Care Education/Training Program | 262 Farmington Ave, Farmington, CT 06030 | 2012-07-17 |
| 1750644365 | Ugonna Ijeoma | Student in an Organized Health Care Education/Training Program | 260 Farmington Ave, Farmington, CT 06030 | 2012-06-19 |
| 1407018419 | Julia Marie Toto | Plastic Surgery | University Physicians, 263 Farmington Avenue, Farmington, CT 06030 | 2008-06-30 |
| 1851456495 | Jeffrey Gross | Anesthesiology | 263 Farmington Avenue, Mc-2015, John Dempsey Hospital, Farmington, CT 06030 | 2006-12-26 |
| 1649225269 | Julian Nieves | Internal Medicine | 263 Famrington Avenue, Farmington, CT 06030 | 2006-05-23 |
| Find all providers in zip 06030 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225076003 | San Juan Regional Medical Center Inc | Internal Medicine | 407 S. Schwartz Ave, Suite 201, Farmington, NM 87401-5973 | 2006-06-03 |
| 1508208091 | Evan Nadler | Internal Medicine | 263 Farmington Ave, Farmington, CT 06030-0001 | 2013-07-24 |
| 1609217694 | Massa Zantah | Internal Medicine | 263 Farmington Ave, Farmington, CT 06032-1956 | 2013-07-08 |
| 1700132263 | Rahul Mutneja | Internal Medicine | 263 Farmington Ave, Farmington, CT 06030 | 2012-08-01 |
| 1659553949 | State of Connecitut Health Center | Internal Medicine | 263 Farmington Ave, Pulmonary Medicine, Farmington, CT 06030-0001 | 2007-11-29 |
| 1487853941 | Omar Mohammad Ibrahim | Internal Medicine | 263 Farmington Ave, Farmington, CT 06030-0001 | 2007-07-15 |
| 1033327770 | San Juan Regional Medical Center Inc | Internal Medicine | 407 S Schwartz Ave, Suite 202, Farmington, NM 87401 | 2007-05-18 |
| 1881692044 | Mark Metersky | Internal Medicine | 263 Farmington Ave, Farmington, CT 06030-0001 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356761290 | Issahar Ben-dov | Internal Medicine | 300 Cedar St, Pulmonary &critical Care Section, Tac-441 South, New Haven, CT 06520-8057 | 2014-04-18 |
| 1669710216 | Arthur Christian Degraff Jr. | Internal Medicine | 160 Hunter Dr, West Hartford, CT 06107-1017 | 2013-01-16 |
| 1215287214 | Craig Stephen Conoscenti | Internal Medicine | 199 Gregory Blvd, Unit I5, Norwalk, CT 06855-2640 | 2012-09-17 |
| 1396024980 | Johan Van Jaarsveld | Internal Medicine | 81 Deer Run Rd, Woodbridge, CT 06525-1907 | 2011-08-12 |
| 1215143953 | Kaiser Toosy | Internal Medicine | 136 Sherman Ave Ste 302, New Haven, CT 06511-5210 | 2007-05-16 |
| 1477675098 | A. Joel Papowitz | Internal Medicine | 179 Pine Creek Ave, Fairfield, CT 06824-6341 | 2007-04-04 |
| 1639293186 | Thinesh Dahanayake | Internal Medicine | 330 Washington St Ste 430, Norwich, CT 06360-2700 | 2007-03-19 |
| 1104910215 | Christopher Edward Manfredi | Internal Medicine | 30 Stevens Street, Suite C, Norwalk, CT 06850 | 2006-10-03 |
| 1598869596 | Kanagaratnam Jegathesan Md PC | Internal Medicine | 2271 East Main St, Waterbury, CT 06705 | 2006-09-11 |
| 1497859409 | Kanagaratnam Jegathesan | Internal Medicine | 2271 East Main Street, Waterbury, CT 06705 | 2006-09-11 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 06030 |
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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.