MRS. MARIA J BRENNAN (NPI# 1538125455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538125455 |
| Entity Type | Individual |
| Full Name | MRS. MARIA J BRENNAN |
| Credential | APRN |
| Practice Address |
63 Canterbury Rd Windham Urology Group Brooklyn CT 06234 |
| Mailing Address |
63 Canterbury Rd. Windham Urology Group Brooklyn CT 06234 |
| Practice Telephone | 8604120491 |
| Practice Fax Number | 8604120496 |
| Mailing Telephone | 8604120491 |
| Mailing Fax Number | 8604120496 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2017-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
001754 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004198679 | 05 | |
| CT | HEALTHNET OF CT | 2V4032 | 01 |
| CT | ANTHEM BC/BS | 40000175CT01 | 01 |
| CT | OXFORD HEALTH PLAN | P2971942 | 01 |
| CT | BLUECARE FAMILY PLAN | 00419867900 | 01 |
| CT | 500000089 | 05 |
| Street Address |
63 CANTERBURY RD WINDHAM UROLOGY GROUP |
| City | BROOKLYN |
| State | CT |
| Zip Code | 06234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447255963 | Brian S Mcleod | Specialist | 63 Canterbury Rd, Brooklyn, CT 06234-1901 | 2005-06-21 |
| 1841437456 | Physician Services of Northeast Connecticut, LLC | Family Medicine | 63 Canterbury Rd, Brooklyn, CT 06234-1901 | 2009-01-20 |
| 1225235757 | Windham Urology Group PC | Urology | 63 Canterbury Rd, Brooklyn, CT 06234-1901 | 2007-06-28 |
| 1902964414 | Joseph Alessandro | Family Medicine | 63 Canterbury Rd, Brooklyn, CT 06234-1901 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427613645 | Brenda Jean Wrenn | Driver | 153 Church St, Brooklyn, CT 06234 | 2019-05-02 |
| 1205353026 | Brook Bachand | Massage Therapist | 538b Providence Road, Brooklyn, CT 06234 | 2017-08-23 |
| 1407015977 | Sarah Anne Pasiakos | Speech-Language Pathologist | 50 Westview Drive, Brooklyn, CT 06234 | 2008-06-09 |
| 1396957965 | Classic Homemakers LLC | Chore Provider | 167 Stetson Rd, Brooklyn, CT 06234 | 2007-05-04 |
| 1699799130 | Pierce Memorial Baptist Home, Inc. | Nursing Facility/Intermediate Care Facility | 44 Canterbury Road, Brooklyn, CT 06234 | 2006-07-27 |
| 1366871220 | Quiet Corner Eyecare, LLC | Optometrist | 450 Providence Rd, Walmart Vision Center, Brooklyn, CT 06234 | 2013-11-01 |
| 1013050053 | Day Drug Inc | Pharmacy | 50 South Main Street, Brooklyn, CT 06234 | 2007-02-15 |
| 1184927659 | The Learning Clinic, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 476 Pomfret Rd, Brooklyn, CT 06234-1526 | 2010-12-06 |
| 1932761202 | Tessa Lynn Depasquale | Counselor | 476 Pomfret Rd, Brooklyn, CT 06234-1526 | 2019-07-08 |
| 1114218229 | Margaret M Downing | Occupational Therapy Assistant | 33 Meadowbrook Dr, Brooklyn, CT 06234-1553 | 2011-04-22 |
| Find all providers in zip 06234 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334100 | Yin Kong | Nurse Practitioner | 7105 3rd Avenue, #523, 7105 3rd Avenue, #52, Brooklyn, NY 11209-1308 | 2020-10-21 |
| 1922612944 | Rosemarie Elizabeth Crosdale | Nurse Practitioner | 9019 Avenue A, Brooklyn, NY 11236-1208 | 2020-09-08 |
| 1144832247 | Marise Richard | Nurse Practitioner | 1106 E 57th St, Brooklyn, NY 11234-3312 | 2020-08-19 |
| 1487264008 | Dina Levkova | Nurse Practitioner | 303 Webster Ave Apt 2f, Brooklyn, NY 11230-1256 | 2020-08-07 |
| 1972113694 | Winsome Elizabeth Benain | Nurse Practitioner | 9621 Avenue B, Brooklyn, NY 11236-1321 | 2020-08-06 |
| 1396355327 | Samuel S Wilburn | Nurse Practitioner | 75 Jackson St Apt 1, Brooklyn, NY 11211-2245 | 2020-08-04 |
| 1710595335 | Aimee Huang | Nurse Practitioner | 96 Bay 10th St, Brooklyn, NY 11228-3702 | 2020-07-20 |
| 1700494812 | Jessica B Schwab | Nurse Practitioner | 75 Jackson St Apt 1fh, Brooklyn, NY 11211-2245 | 2020-07-15 |
| 1225654916 | Leasha Lindsay | Nurse Practitioner | 1214 E 87th St, Brooklyn, NY 11236-4929 | 2020-06-18 |
| 1760002323 | Satchell-lee Tyrell | Nurse Practitioner | 537 Rogers Ave, Brooklyn, NY 11225-5445 | 2020-04-23 |
| Find all providers in BROOKLYN | ||||
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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.