KRIEZEL CHARMEL ERSANDO PRESTA (NPI# 1316316474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316316474 |
| Entity Type | Individual |
| Full Name | KRIEZEL CHARMEL ERSANDO PRESTA |
| Other Name | KRIEZEL CHARMEL LU ERSANDO |
| Credential | PA-C |
| Practice Address |
52 Washington Ave Suite 4 North Haven CT 06473-1724 |
| Practice Telephone | 2036722800 |
| Practice Fax Number | 2036722801 |
| Mailing Telephone | 2036722800 |
| Mailing Fax Number | 2036722801 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2017-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3427 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
52 WASHINGTON AVE SUITE 4 |
| City | NORTH HAVEN |
| State | CT |
| Zip Code | 06473-1724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316933419 | Fausto Petruzziello | Internal Medicine | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 | 2005-09-23 |
| 1528460565 | Barbara Bacal | Dietitian, Registered | 52 Washington Ave, North Haven, CT 06473-1724 | 2014-09-22 |
| 1487904520 | Nikit Y Shah | Physician Assistant | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 | 2012-09-17 |
| 1083922470 | Synergy Rehabilitation LLC | Physical Therapist | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 | 2010-09-20 |
| 1598073348 | Ralph Laudano Mauriello | Physical Therapist | 52 Washington Ave, North Haven, CT 06473-1724 | 2010-09-15 |
| 1902095003 | Family Practice & Internal Medicine, LLC | Nurse Practitioner | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 | 2007-10-15 |
| 1205035664 | Olivia M Kousky | Physician Assistant | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 | 2007-07-16 |
| 1578607727 | Assunta Maria Sandor | Physician Assistant | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 | 2007-02-19 |
| 1093856833 | Rebecca Jude Grillo | Physician Assistant | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 | 2007-02-12 |
| 1700937075 | Leslie Boylan | Nurse Practitioner | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 | 2007-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043823347 | Yunmin Chen | Nurse Practitioner | 269 Spring Rd, North Haven, CT 06473 | 2020-08-26 |
| 1467944884 | Julian Cano | Acupuncturist | 444b Washington Ave, North Haven, CT 06473 | 2018-06-01 |
| 1487195848 | Wigtowne | Durable Medical Equipment & Medical Supplies | 117 Washington Ave., North Haven Shopping Cntr, North Haven, CT 06473 | 2017-03-17 |
| 1528415205 | Laura Michelle Delucia | Social Worker | 451 State St., North Haven, CT 06473 | 2016-05-23 |
| 1356702153 | Technical Gas Products, Inc. | Durable Medical Equipment & Medical Supplies | 1510 Canton Center Dr, Baltimore, MD 06473 | 2016-03-08 |
| 1043600687 | John Maltagliati | Pharmacy Technician | 200 Universal Dr. North, North Haven, CT 06473 | 2015-02-04 |
| 1184025603 | Hollyann C Mcnabola | Social Worker | 130 Washington Avenue, Upper Level, North Haven, CT 06473 | 2014-09-16 |
| 1194136648 | Carol Hogan | Speech-Language Pathologist | 54 Potter Rd, North Haven, CT 06473 | 2014-05-17 |
| 1376961946 | Jared R Langerman | Otolaryngology | 31 Broadway Fl 2, North Haven, CT 06473 | 2014-04-01 |
| 1396174280 | Azeez O Oladejo | Pharmacist | 2 Universal Drive North, North Haven, CT 06473 | 2013-11-01 |
| Find all providers in zip 06473 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295215523 | Tyler Tan Fung | Physician Assistant | 19 Beach Ln, North Haven, CT 06473-4002 | 2018-08-16 |
| 1003219072 | Chelsea Wabrek | Physician Assistant | 358 Universal Dr N, North Haven, CT 06473 | 2014-10-03 |
| 1205035664 | Olivia M Kousky | Physician Assistant | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 | 2007-07-16 |
| 1548372816 | Nina Frances Burkhardt | Physician Assistant | 12 Village St, Suite 8, North Haven, CT 06473-3828 | 2006-08-31 |
| 1871600320 | Seth Leventhal | Physician Assistant | 2 Devine St, North Haven, CT 06473-2142 | 2006-08-23 |
| 1013024561 | Henry Ainsley Highman | Physician Assistant | 2 Devine St, North Haven, CT 06473-2142 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295913 | Courtney Marquardt | Physician Assistant | 25 Buckland Rd, South Windsor, CT 06074-3703 | 2020-11-04 |
| 1154922623 | Alexis Cardinali | Physician Assistant | 175 S Meriden Rd, Cheshire, CT 06410-2973 | 2020-11-02 |
| 1689274417 | Danielle Kerr | Physician Assistant | 1055 Kennedy Rd, Windsor, CT 06095-1308 | 2020-10-30 |
| 1467051920 | Cynthia G Moreno | Physician Assistant | 76 Newtown Rd Ste C, Danbury, CT 06810-6265 | 2020-10-25 |
| 1245837764 | Lauren Tripodi | Physician Assistant | 9 Sunset Hill Rd, Newtown, CT 06470-1318 | 2020-10-07 |
| 1710594403 | Mary Josephine Elliott | Physician Assistant | 50 Beechwood Dr, Madison, CT 06443-1847 | 2020-09-26 |
| 1558977868 | Gabrielle Guetta | Physician Assistant | 25 Woody Ln, Westport, CT 06880-2260 | 2020-09-22 |
| 1609481639 | Gresi Kello | Physician Assistant | 506 Frost Rd, Waterbury, CT 06705-2304 | 2020-09-15 |
| 1477167351 | Connecticut Children's Eye Care, P.C. | Physician Assistant | 131 New London Tpke Ste 200, Glastonbury, CT 06033-2246 | 2020-09-08 |
| 1750991303 | Lana Chapman | Physician Assistant | 289 Curtis St Apt 2, Meriden, CT 06450-5910 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
| City | NORTH HAVEN |
| Zip Code | 06473 |
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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.