BURGESS HEALTH ASSOCIATES, LLC (NPI# 1184650830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184650830 |
| Entity Type | Organization |
| Organization Name | BURGESS HEALTH ASSOCIATES, LLC |
| Other Organization Name | HEALTHTRAC |
| Practice Address |
460 Smith St Middletown CT 06457-1594 |
| Mailing Address |
4950 Genesee St Suite 180 Buffalo NY 14225-5550 |
| Practice Telephone | 8606328000 |
| Practice Fax Number | 8606328008 |
| Mailing Telephone | 7166143260 |
| Mailing Fax Number | 7166143282 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2011-01-27 |
| Authorized Official Name | ALAN ROBINSON (PRESIDENT) |
| Authorized Official Telephone | 7166143285 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | N/A | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004011417 | 05 | |
| CT | CONNECTICARE | 916152 | 01 |
| CT | PROVIDER ID EVERCARE | 16-01778 | 01 |
| CT | PROVIDER ID HEALTHNET | CV4958 | 01 |
| CT | PROVIDER ID HEALTHNET | CV6643 | 01 |
| Other Name | Type Code |
|---|---|
| HealthTrac | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801921630 | Burgess Health Associates, LLC | Radiology | 460 Smith St, Middletown, CT 06457-1594 | 2007-02-22 |
| Street Address |
460 SMITH ST |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-1594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538584180 | Andrea B. Maule LLC | Counselor | 460 Smith St, Suite L, Middletown, CT 06457-1594 | 2014-02-19 |
| 1003230012 | One Piece of The Puzzle, LLC | Community/Behavioral Health | 460 Smith St, Suite L, Middletown, CT 06457-1594 | 2014-02-11 |
| 1750710927 | Andrea B. Maule | Counselor | 460 Smith St, Suite L, Middletown, CT 06457-1594 | 2013-11-07 |
| 1114265378 | Erin Eickenhorst Lpc | Counselor | 460 Smith St, Suite L, Box 3, Middletown, CT 06457-1594 | 2013-01-23 |
| 1265662837 | Cameron Counseling Services | Social Worker | 460 Smith St, Suite L, Middletown, CT 06457-1594 | 2009-07-17 |
| 1801921630 | Burgess Health Associates, LLC | Radiology | 460 Smith St, Middletown, CT 06457-1594 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740665843 | Hvra of Danbury, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 67 Sand Pit Rd Ste 102, Danbury, CT 06810-4032 | 2015-07-30 |
| 1649895152 | Pdi Health Ct LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 500 W Putnam Ave Ste 400, Greenwich, CT 06830-6096 | 2020-06-10 |
| 1497201941 | Preventive Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1 Grove St, 105, New Britain, CT 06053-4116 | 2016-08-25 |
| 1124266200 | Advanced Mobile Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 50 Cherry St, Suite L, Milford, CT 06460-3487 | 2009-01-28 |
| 1508043613 | Housatonic Valley Radiological Associates PC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 67 Sand Pit Rd, Suite 105, Danbury, CT 06810-4032 | 2008-01-31 |
| 1922126051 | Ct. Mobile Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 249 W Main St, C-3, Branford, CT 06405-4048 | 2007-03-27 |
| 1073570206 | Ct Mobile Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 249 W Main St, C-3, Branford, CT 06405-4048 | 2006-05-01 |
| City | MIDDLETOWN |
| Zip Code | 06457 |
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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.