CONNECTICUT NEUROSURGERY, PC (NPI# 1396957825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396957825 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT NEUROSURGERY, PC |
| Practice Address |
520 Old Saybrook Road Suite 100 Middletown CT 06457 |
| Mailing Address |
330 Orchard Street Suite 316 New Haven CT 06511-4430 |
| Practice Telephone | 8603440118 |
| Practice Fax Number | 8603440461 |
| Mailing Telephone | 2037813400 |
| Mailing Fax Number | 2037813414 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PATRICK TOMAK (MD) |
| Authorized Official Telephone | 2037813400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 037965 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | NPI | 1649286220 | 01 |
| CT | NPI | 1659387256 | 01 |
| CT | NPI | 1710993381 | 01 |
| CT | NPI | 1356357933 | 01 |
| CT | NPI | 1477568053 | 01 |
| CT | NPI | 1831127265 | 01 |
| CT | NPI | 1952317521 | 01 |
| CT | NPI | 1548275092 | 01 |
| CT | NPI | 1295741825 | 01 |
| CT | NPI | 1417962093 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114131349 | Connecticut Neurosurgery, PC | Durable Medical Equipment & Medical Supplies | 8 Research Pkwy, Wallingford, CT 06492-1929 | 2007-05-09 |
| 1821200353 | Connecticut Neurosurgery, PC | Durable Medical Equipment & Medical Supplies | 20 Commerce Park, Milford, CT 06460 | 2007-05-04 |
| 1598986796 | Connecticut Neurosurgery, PC | Durable Medical Equipment & Medical Supplies | 1 Bradley Rd, Suite 501, Woodbridge, CT 06525-2285 | 2007-05-02 |
| Street Address |
520 OLD SAYBROOK ROAD SUITE 100 |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003429812 | Therafit Enterprises of New Jersey Incorporated | Durable Medical Equipment & Medical Supplies | 1275 Hwy 35 Ste 7, Middletown, NJ 07748-2000 | 2020-08-31 |
| 1821652611 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1200 Highway 35, Middletown, NJ 07748-2013 | 2019-04-26 |
| 1528584323 | Middleton Health Supplies | Durable Medical Equipment & Medical Supplies | 364 E Main St Ste 808, Middletown, DE 19709-1482 | 2017-08-14 |
| 1902279623 | Brandywine Podiatry Pa | Durable Medical Equipment & Medical Supplies | 118 Sandhill Dr Ste 204, Middletown, DE 19709-5859 | 2015-11-03 |
| 1396114849 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 100 Campus Loop Rd Ste 2a, Middletown, OH 45005-5187 | 2015-09-15 |
| 1427456714 | Pharma-cycle, LLC | Durable Medical Equipment & Medical Supplies | 55 John Clarke Rd, Middletown, RI 02842-5641 | 2014-12-18 |
| 1316348014 | Delaware Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 674 Middletown Odessa Rd, Middletown, DE 19709 | 2014-09-12 |
| 1720411796 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 399 Route 211 E, Middletown, NY 10940-2117 | 2013-08-14 |
| 1487093043 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 230 Main Street Ext Ste A, Middletown, CT 06457-4470 | 2013-06-17 |
| 1336586528 | Newchoice Homecare | Durable Medical Equipment & Medical Supplies | 749 Saybrook Rd Ste B113, Middletown, CT 06457-4742 | 2013-05-28 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on CONNECTICUT NEUROSURGERY, PC.
| 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.