PRI- CARE EXPRESS, LLC (NPI# 1750769584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750769584 |
| Entity Type | Organization |
| Organization Name | PRI- CARE EXPRESS, LLC |
| Practice Address |
79 Washington Ave North Haven CT 06473 |
| Mailing Address |
79 Washington Ave North Haven CT 06473-1704 |
| Practice Telephone | 2032392727 |
| Practice Fax Number | 2036432081 |
| Mailing Telephone | 2032392727 |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |
| Authorized Official Name | MARK WASSERMAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2032392727 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
36223 | CT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | NPI | 1487680625 | 01 |
| Street Address |
79 WASHINGTON AVE |
| City | NORTH HAVEN |
| State | CT |
| Zip Code | 06473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295767168 | Stop and Shop Supermarket Co LLC | Pharmacy | 79 Washington Ave, North Haven, CT 06473-1704 | 2006-07-07 |
| 1043705213 | Amit Lal | Pharmacist | 79 Washington Ave, North Haven, CT 06473-1704 | 2018-06-28 |
| 1629562475 | Lisa Cooney | Pharmacist | 79 Washington Ave, North Haven, CT 06473-1704 | 2018-06-15 |
| 1124318068 | Fawad Hameedi | Family Medicine | 79 Washington Ave, North Haven, CT 06473-1704 | 2011-04-12 |
| 1821222472 | Manoj K Saxena | Preventive Medicine | 79 Washington Ave, North Haven, CT 06473-1704 | 2009-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043823347 | Yunmin Chen | Nurse Practitioner | 269 Spring Rd, North Haven, CT 06473 | 2020-08-26 |
| 1467944884 | Julian Cano | Acupuncturist | 444b Washington Ave, North Haven, CT 06473 | 2018-06-01 |
| 1487195848 | Wigtowne | Durable Medical Equipment & Medical Supplies | 117 Washington Ave., North Haven Shopping Cntr, North Haven, CT 06473 | 2017-03-17 |
| 1528415205 | Laura Michelle Delucia | Social Worker | 451 State St., North Haven, CT 06473 | 2016-05-23 |
| 1356702153 | Technical Gas Products, Inc. | Durable Medical Equipment & Medical Supplies | 1510 Canton Center Dr, Baltimore, MD 06473 | 2016-03-08 |
| 1043600687 | John Maltagliati | Pharmacy Technician | 200 Universal Dr. North, North Haven, CT 06473 | 2015-02-04 |
| 1184025603 | Hollyann C Mcnabola | Social Worker | 130 Washington Avenue, Upper Level, North Haven, CT 06473 | 2014-09-16 |
| 1194136648 | Carol Hogan | Speech-Language Pathologist | 54 Potter Rd, North Haven, CT 06473 | 2014-05-17 |
| 1376961946 | Jared R Langerman | Otolaryngology | 31 Broadway Fl 2, North Haven, CT 06473 | 2014-04-01 |
| 1396174280 | Azeez O Oladejo | Pharmacist | 2 Universal Drive North, North Haven, CT 06473 | 2013-11-01 |
| Find all providers in zip 06473 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447578 | Luca Health & Wellness, LLC | Clinic/Center | 2475 Albany Ave Ste 205, West Hartford, CT 06117-2523 | 2020-11-04 |
| 1699307751 | Pride Comprehensive Primary Care LLC | Clinic/Center | 7 Warren Rd, Wolcott, CT 06716-3015 | 2020-02-06 |
| 1316405186 | Ct Optimal Wellness, LLC | Clinic/Center | 115 Technology Dr Unit A103, Trumbull, CT 06611-6338 | 2019-03-11 |
| 1922586809 | Emmaus Health LLC | Clinic/Center | 945 Main St Ste 205, Manchester, CT 06040-6064 | 2018-08-01 |
| 1841781382 | Clifford W. Beers Guidance Clinic Inc | Clinic/Center | 41 Marne St, Hamden, CT 06514 | 2018-05-21 |
| 1598284622 | Np Wellness Care | Clinic/Center | 253 Fairlawn Dr, Torrington, CT 06790-5809 | 2017-09-09 |
| 1245773191 | Anchor Health Initiative Corp. | Clinic/Center | 30 Myano Ln Ste 16, Stamford, CT 06902-4532 | 2016-11-27 |
| 1588114870 | Whole Self Wellness, LLC | Clinic/Center | 144 Banjo Sullivan Rd, Griswold, CT 06351-1201 | 2016-10-11 |
| 1265892541 | Amanda M Swan Aprn LLC | Clinic/Center | 33 Harmund Pl, Wethersfield, CT 06109-1209 | 2016-03-01 |
| 1215321666 | Grand Medical LLC | Clinic/Center | 515 Higgins Rd, Cheshire, CT 06410-3326 | 2015-03-24 |
| Find all providers with the same taxonomy | ||||
| City | NORTH HAVEN |
| Zip Code | 06473 |
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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.