JANICE DESI (NPI# 1386838803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386838803 |
Entity Type | Individual |
Full Name | JANICE DESI |
Credential | PA |
Practice Address |
410 Saybrook Rd Suite 100 Middletown CT 06457-4711 |
Mailing Address |
410 Saybrook Rd Suite 100 Middletown CT 06457-4777 |
Practice Telephone | 8606858951 |
Practice Fax Number | 8606858945 |
Mailing Telephone | 8606858951 |
Mailing Fax Number | 8606858945 |
Enumeration Date | 2007-08-28 |
Last Update Date | 2008-09-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
410 SAYBROOK RD SUITE 100 |
City | MIDDLETOWN |
State | CT |
Zip Code | 06457-4711 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720069560 | Martha L Mccrann | Physician Assistant | 410 Saybrook Rd, Suite 201, Middletown, CT 06457-4777 | 2005-11-09 |
1114578663 | Middesex Dental Sleep Medicine LLC | Dentist | 410 Saybrook Rd, Suite 202, Middletown, CT 06457-4777 | 2019-09-26 |
1417314253 | Stephanie Belanger | Physical Therapist | 410 Saybrook Rd, Suite 100, Middletown, CT 06457-4777 | 2016-01-25 |
1366837056 | Katherine Erikson | Physician Assistant | 410 Saybrook Rd, Suite 100, Middletown, CT 06457-4777 | 2015-03-31 |
1205236247 | Carly Croteau | Physical Therapist | 410 Saybrook Rd, Middletown, CT 06457-4777 | 2014-08-27 |
1033553011 | Oaa LLC | Dentist | 410 Saybrook Rd, Middletown, CT 06457 | 2013-04-22 |
1073867818 | Middlesex Orthopedic Surgeons Prof Corp | Specialist | 410 Saybrook Rd, Suite 100, Middletown, CT 06457-4777 | 2012-11-01 |
1346596657 | Stephanie Lynn Vanheyst | Physical Therapist | 410 Saybrook Rd, Suite 100, Middletown, CT 06457-4777 | 2012-07-24 |
1629228556 | Cristina Alena Savin | Physician Assistant | 410 Saybrook Rd, Suite 201, Middletown, CT 06457-4777 | 2008-09-28 |
1912114679 | Robert Jakubiec | Dentist | 410 Saybrook Rd, Suite 203, Middletown, CT 06457-4777 | 2007-05-16 |
Find all providers in the same location |
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 | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598160699 | Kelly Jones | Physician Assistant | 5809 W County Road 950 N, Middletown, IN 47356-9458 | 2014-10-31 |
1306062310 | Brittany Coffman | Physician Assistant | 3376 Sumantown Rd, Middletown, MD 21769-6409 | 2007-04-18 |
1518090646 | Sharon Lynne Fritz | Physician Assistant | 1055 Summitt Dr, Middletown, OH 45042-3464 | 2007-03-14 |
1538173661 | Annette C. Musano | Physician Assistant | 453 Rt 211 E, Middletown, NY 10940-2066 | 2006-07-27 |
1053365957 | Bradley P Bruns | Physician Assistant | 2408 Hill Ave, Middletown, OH 45044-4732 | 2006-05-22 |
1790788859 | Eric B Neadel | Physician Assistant | 28 Crescent St, Middletown, CT 06457-3654 | 2005-05-23 |
1558989004 | Anisha Vadehra | Physician Assistant | 707 E Main St, Middletown, NY 10940-2650 | 2020-07-10 |
1598389314 | Carly M. Jobson | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2020-06-08 |
1841834959 | Ariel D. Chasipanta | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2019-10-31 |
1295397222 | Carley Brooke Neinas | Physician Assistant | 707 E Main St, Middletown, NY 10940-2650 | 2019-06-29 |
Find all providers in MIDDLETOWN |
City | MIDDLETOWN |
Zip Code | 06457 |
Please comment or provide details below to improve the information on JANICE DESI.
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.