NOVA VITA MEDICAL PC (NPI# 1659884690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659884690 |
| Entity Type | Organization |
| Organization Name | NOVA VITA MEDICAL PC |
| Practice Address |
3180 Main St Bridgeport CT 06606 |
| Mailing Address |
3180 Main St Bridgeport CT 06606-4237 |
| Practice Telephone | 2038701616 |
| Practice Fax Number | 2038701615 |
| Mailing Telephone | 2038701616 |
| Mailing Fax Number | 2038701615 |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | UBONG JACKSON UDOYEN (MD) |
| Authorized Official Telephone | 2038701616 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
50553 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | STATE LICENSE | 50553 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760907166 | Nova Vita Medical PC | Psychiatry & Neurology | 887 Rutland Rd, Brooklyn, NY 11203 | 2017-08-07 |
| Street Address |
3180 MAIN ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174524151 | Kathryn J Quinn | Pediatrics | 3180 Main St, Suite G-1, Bridgeport, CT 06606-4237 | 2005-08-02 |
| 1023535135 | Nova Vita Health Services PC | Psychiatry & Neurology | 3180 Main St, Bridgeport, CT 06606 | 2017-08-29 |
| 1922547769 | Raj Medical Diagnostics PC | Internal Medicine | 3180 Main St, Bridgeport, CT 06606-4237 | 2017-02-13 |
| 1467808121 | Day Physical Therapy Management LLC | Physical Therapist | 3180 Main St, Suite G2, Bridgeport, CT 06606-4237 | 2016-05-11 |
| 1982020475 | Susan Krissel | Advanced Practice Midwife | 3180 Main St, Suite 202, Bridgeport, CT 06606-4237 | 2014-03-09 |
| 1477828606 | New England Orthotic & Prosthetic Systems, LLC | Durable Medical Equipment & Medical Supplies | 3180 Main St, Unit G, Bridgeport, CT 06606-4237 | 2012-03-21 |
| 1477838951 | Jeimy Bueno Canosa | Physical Therapist | 3180 Main St, Suite G2, Bridgeport, CT 06606-4237 | 2011-10-17 |
| 1609014893 | Core Physical Therapy & Sports Medicine PC | Clinic/Center | 3180 Main St, Ste 303, 304, Bridgeport, CT 06606-4237 | 2009-01-27 |
| 1255589271 | Eric P Schmitt | Physical Therapist | 3180 Main St, Suite G2, Bridgeport, CT 06606-4237 | 2008-09-03 |
| 1306004163 | Taryn Baer-shalev | Pediatrics | 3180 Main St, Bridgeport, CT 06606-4237 | 2008-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629344858 | Kevin Douglas Junkins | Psychiatry & Neurology | 65 Professional Pl Ste 102, Bridgeport, WV 26330 | 2012-04-02 |
| 1063548899 | Reginald Anthony Hoffler | Psychiatry & Neurology | 1106 North Ave, Bridgeport, CT 06604-2710 | 2007-02-26 |
| 1649326075 | Muhammad Salman | Psychiatry & Neurology | 527 Medical Park Dr Ste 105, Bridgeport, WV 26330-9009 | 2007-01-26 |
| 1629185764 | Chiman I Patel LLC | Psychiatry & Neurology | 144 Golden Hill St, Suite 202, Bridgeport, CT 06604-4117 | 2006-08-24 |
| 1386677813 | Simon Mcclure | Psychiatry & Neurology | 1160 Johnson Ave, Suite 105, Bridgeport, WV 26330 | 2006-07-08 |
| 1801898804 | Jose A Camacho-pantoja | Psychiatry & Neurology | 46 Albion St, Southwest Community Health Center, Inc, Bridgeport, CT 06605-2602 | 2005-08-10 |
| 1659378354 | Toni B Goodykoontz | Psychiatry & Neurology | 1400 Johnson Ave, Suite 4h, Bridgeport, WV 26330-1063 | 2005-07-07 |
| 1336639947 | Jennifer April Howard | Psychiatry & Neurology | 527 Medical Park Dr Ste 105, Bridgeport, WV 26330-9009 | 2018-05-18 |
| 1023535135 | Nova Vita Health Services PC | Psychiatry & Neurology | 3180 Main St, Bridgeport, CT 06606 | 2017-08-29 |
| 1083092134 | Devesh Jalan | Psychiatry & Neurology | 2800 Main St, Bridgeport, CT 06606-4292 | 2015-05-09 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
Please comment or provide details below to improve the information on NOVA VITA MEDICAL 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.