JEFFREY DUDEK (NPI# 1326492752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326492752 |
| Entity Type | Individual |
| Full Name | JEFFREY DUDEK |
| Practice Address |
34 Jerome Ave Suite 320 Bloomfield CT 06002-2463 |
| Practice Telephone | 8608303987 |
| Mailing Telephone | 8608303987 |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-04-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 7562 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
34 JEROME AVE SUITE 320 |
| 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 |
| 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 |
| 1023162955 | Scott J Merkelson | Dentist | 34 Jerome Ave, Suite 112, Bloomfield, CT 06002-2463 | 2007-01-22 |
| 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 | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124635545 | Michael Ciardulli Jr. | Massage Therapist | 174 Raab Ave, Bloomfield, NJ 07003-4521 | 2020-09-29 |
| 1861046831 | Shimona R Spears | Massage Therapist | 61 Tyler St, Bloomfield, CT 06002-3108 | 2019-07-29 |
| 1639660335 | Laura Heuzey | Massage Therapist | 37 Valentine Rd, Bloomfield, NJ 07003-3868 | 2018-05-29 |
| 1336463207 | Cheryl Fucetola | Massage Therapist | 30 N End Ter, Bloomfield, NJ 07003-5519 | 2010-03-22 |
| 1508128067 | Frank Giordano | Massage Therapist | 532 Broad St, Bloomfield, NJ 07003-2762 | 2012-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851991848 | Jillian Alexandra Marchenko | Massage Therapist | 43 Beachland Ave, Milford, CT 06460-7409 | 2020-10-28 |
| 1528667417 | Tracy L Rosiene | Massage Therapist | 211 Route 164, Preston, CT 06365-8726 | 2020-10-21 |
| 1033718036 | Vanessa Gutierrez-santana | Massage Therapist | 31 Middle Ave, Shelton, CT 06484-3949 | 2020-10-21 |
| 1942807268 | Kristine Marie Loomis | Massage Therapist | 41 Crestview Dr, Watertown, CT 06795-1814 | 2020-10-09 |
| 1780291963 | Cheryl C Jones | Massage Therapist | 15 Sylvia Ln, Norwich, CT 06360-2147 | 2020-09-30 |
| 1770190027 | Gladys Vargas | Massage Therapist | 44 S Main St Ste 16, East Windsor, CT 06088-1702 | 2020-09-29 |
| 1174130710 | Satomi Tanaka-munroe | Massage Therapist | 265 Dale Rd, Wethersfield, CT 06109-3250 | 2020-09-28 |
| 1831706464 | Ibsen Oviedo | Massage Therapist | 41 Lovatt St, Norwalk, CT 06851-4127 | 2020-09-28 |
| 1457968075 | Khalaf Jerry | Massage Therapist | 180 N Taylor Ave, Norwalk, CT 06854-1118 | 2020-09-28 |
| 1740897446 | Jennifer Dolan | Massage Therapist | 28 Tahmore Pl, Shelton, CT 06484-1740 | 2020-09-26 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD |
| Zip Code | 06002 |
Please comment or provide details below to improve the information on JEFFREY DUDEK.
| 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.