DR. MARK A GREGORIO (NPI# 1598066698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598066698 |
| Entity Type | Individual |
| Full Name | DR. MARK A GREGORIO |
| Credential | DNP, APRN, NP-C |
| Practice Address |
816 Broad St Meriden CT 06450-4350 |
| Mailing Address |
42 Concord St New Haven CT 06512-4005 |
| Practice Telephone | 8608230645 |
| Mailing Telephone | 8608230645 |
| Mailing Fax Number | 2034699925 |
| Enumeration Date | 2010-11-06 |
| Last Update Date | 2019-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
12.004539 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | APRN | 4539 | 01 |
| CT | RN | 071501 | 01 |
| Street Address |
816 BROAD ST |
| City | MERIDEN |
| State | CT |
| Zip Code | 06450-4350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497791586 | Anneliese Kruppa Sensini | Physical Therapist | 816 Broad St, Suite 17 & 18, Meriden, CT 06450-4350 | 2006-06-20 |
| 1700372356 | Anne Elizabeth Carlson | Physician Assistant | 816 Broad St, Meriden, CT 06450-4350 | 2018-07-06 |
| 1235584095 | Latasha Gardner | Counselor | 816 Broad St, Suite 23, Meriden, CT 06450-4350 | 2016-04-29 |
| 1841674520 | Meriden Eye Care, LLC | Optometrist | 816 Broad St, Ste 13, Meriden, CT 06450-4350 | 2015-07-13 |
| 1033538376 | Brenda Adams | Marriage & Family Therapist | 816 Broad St, Suite 23, Meriden, CT 06450-4350 | 2014-04-15 |
| 1336574953 | Laura Gezelman | Nurse Practitioner | 816 Broad St, Suite 24, Meriden, CT 06450-4350 | 2013-09-13 |
| 1710234448 | Aericka Robyn Khongdy | Nurse Practitioner | 816 Broad St, Suite 29, Meriden, CT 06450-4350 | 2012-08-13 |
| 1548515067 | Contact Lens Consultants, Inc | Optometrist | 816 Broad St, Suite 13, Meriden, CT 06450-4350 | 2012-07-20 |
| 1346505567 | Rashele Yarborough | Family Medicine | 816 Broad St, Suite 24, Meriden, CT 06450-4350 | 2012-07-13 |
| 1437421765 | Lori Skevas | Nurse Practitioner | 816 Broad St, Suite 24, Meriden, CT 06450-4350 | 2012-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861056525 | Oak Counseling Services LLC | Counselor | Oak Counseling Services, LLC, 97 East Main St. (suite 1h), Meriden, CT 06450 | 2019-04-29 |
| 1467969253 | Midstate Arc | Day Training, Developmentally Disabled Services | 200 Research Pkwy, Meriden, CT 06450 | 2018-01-03 |
| 1144674672 | Felistas Mazhandu | Nurse Practitioner | 53 Church Hill Chase, Meriden, CT 06450 | 2016-04-21 |
| 1639557390 | D J Park PC | Dentist | 490-19 South Broad Street, Meriden, CT 06450 | 2015-05-14 |
| 1912393844 | Elliott Lacki | Psychologist | 1355 N Broad St, Meriden, CT 06450 | 2015-04-07 |
| 1124379797 | Jamie Anne Gargano | Social Worker | 538 Preston Avenue, Meriden, CT 06450 | 2012-09-24 |
| 1760738025 | Psychologist Adriana L Gonzalez Phd Pllc | Clinic/Center | 85 Hillcrest Terrace, Meriden, CT 06450 | 2012-07-24 |
| 1174888622 | Dong Jin Park | Dentist | 490 S Broad St, Meriden, CT 06450 | 2012-07-11 |
| 1710253182 | Adriana Laura Gonzalez | Psychologist | 85 Hillcrest Ter, Meriden, CT 06450 | 2012-03-29 |
| 1285864199 | Crystal Ann Herdman | Occupational Therapist | 33 Cone Avenue, Meriden, CT 06450 | 2009-07-27 |
| Find all providers in zip 06450 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366953457 | Siobhon Andrews | Nurse Practitioner | 39 Oxbow Dr, Meriden, CT 06450-6938 | 2017-10-17 |
| 1710234448 | Aericka Robyn Khongdy | Nurse Practitioner | 816 Broad St, Suite 29, Meriden, CT 06450-4350 | 2012-08-13 |
| 1760797849 | Loren Fields | Nurse Practitioner | 26 Womens Way, Meriden, CT 06451-3237 | 2010-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997847 | Rachel Sarmento | Nurse Practitioner | 13 Sanford Dr, Shelton, CT 06484-5507 | 2020-09-23 |
| 1699399618 | Ann Monica Boisvert | Nurse Practitioner | 5 Perryridge Rd Ste 2-248, Greenwich, CT 06830-4608 | 2020-06-05 |
| 1861041121 | Huong T Nguyen | Nurse Practitioner | 400 Capital Blvd Ste 3, Rocky Hill, CT 06067-3576 | 2019-09-10 |
| 1598319980 | Daniella Gould | Nurse Practitioner | 75 Kings Highway Cutoff Ofc, Fairfield, CT 06824-5340 | 2019-07-24 |
| 1770042038 | Linda Lee Meyer | Nurse Practitioner | 320 Lakeview Ave, Waterbury, CT 06705-2145 | 2019-03-17 |
| 1942766761 | Lawrence M Anderson | Nurse Practitioner | 92 Harwood Rd, Waterbury, CT 06706-2420 | 2019-02-17 |
| 1912497751 | Catherine Rice | Nurse Practitioner | 25 Commerce Rd, Newtown, CT 06470-1607 | 2018-05-17 |
| 1407346323 | Irene D Gumboc | Nurse Practitioner | 99 Starr St, Norwich, CT 06360-4025 | 2018-05-16 |
| 1326546839 | Kristin Holly Van Horn | Nurse Practitioner | Winchester Chest Clinic, 789 Howard St, New Haven, CT 06510 | 2018-01-30 |
| 1891207411 | Michelene Wray | Nurse Practitioner | 474 Cowperthwaite St Apt C, Danbury, CT 06811-5518 | 2017-11-05 |
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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.