THE CONNECTICUT CENTER FOR FACIAL PLASTIC (NPI# 1760688402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760688402 |
| Entity Type | Organization |
| Organization Name | THE CONNECTICUT CENTER FOR FACIAL PLASTIC |
| Practice Address |
2200 Whitney Ave Suite 260 Hamden CT 06518-3691 |
| Practice Telephone | 2032488409 |
| Practice Fax Number | 2032812905 |
| Mailing Telephone | 2032488409 |
| Mailing Fax Number | 2032812905 |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. HOWARD STUPAK (OWNER) |
| Authorized Official Telephone | 2032488409 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 043483 | CT | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | NPI | 1932197852 | 01 |
| Street Address |
2200 WHITNEY AVE SUITE 260 |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518-3691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750382156 | Anesthesia Services of Meriden PC | Anesthesiology | 2200 Whitney Ave, Ste 310, Hamden, CT 06518-3691 | 2005-08-09 |
| 1366969065 | Cristina Perez | Nurse Practitioner | 2200 Whitney Ave, Hamden, CT 06518-3691 | 2017-08-24 |
| 1134673957 | Endoscopy Center of Connecticut Anesthesia | Anesthesiology | 2200 Whitney Ave, Suite 380, Hamden, CT 06518-3691 | 2016-08-10 |
| 1023488095 | Christine Salamida | Nurse Practitioner | 2200 Whitney Ave, Suite 360, Hamden, CT 06518-3691 | 2015-10-02 |
| 1487039525 | New Haven Radiology Associates, P.C. | Radiology | 2200 Whitney Ave, Suite 120, Hamden, CT 06518-3691 | 2015-07-29 |
| 1881078699 | Connecticut Orthopaedic Specialists, PC | Internal Medicine | 2200 Whitney Ave, Suite 170, Hamden, CT 06518-3691 | 2015-07-13 |
| 1053711200 | Samantha Radin | Dietitian, Registered | 2200 Whitney Ave, Suite 180, Hamden, CT 06518-3691 | 2014-08-25 |
| 1356757686 | Connecticut Orthopaedic Specialists, PC | Physical Therapist | 2200 Whitney Ave, Suite 270, Hamden, CT 06518-3691 | 2014-07-08 |
| 1902211154 | Connecticut Orthopaedic Specialists, PC | Physical Therapist | 2200 Whitney Ave, Suite 270, Hamden, CT 06518-3691 | 2014-06-26 |
| 1366876476 | Michael J Selmont | Physician Assistant | 2200 Whitney Ave, Suite 360, Hamden, CT 06518-3691 | 2013-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871082032 | Lynne Severance | Registered Nurse | 121 Highland Ave, Hamden, CT 06518 | 2018-05-03 |
| 1912446782 | Associates In Medical & Cosmetic Dermatology, PC | Dermatology | 9 Washington Avenue, Hamden, CT 06518 | 2017-02-14 |
| 1700338738 | The Lasik Vision Institute LLC | Clinic/Center | 2313 Whitney Avenue, Suite 1b, Hamden, CT 06518 | 2016-10-25 |
| 1639441934 | Michael Tonkyu Kim | Dentist | 2880 Old Dixwell Ave., Hamden, CT 06518 | 2012-02-01 |
| 1174751598 | Yetsa Adebodunde Tuakli-wosornu | Physical Medicine & Rehabilitation | 2080 Whitney Ave Ste 280, Hamden, CT 06518 | 2009-06-24 |
| 1619112133 | Priority Healthcare, LLC | Home Health | 12213 Town Walk Drive, Hamden, CT 06518 | 2008-12-12 |
| 1306095864 | Uttampal Singh | Dentist | 2832 Whitney Avenue- Advanced Orthodontics LLC, Suite- A, Hamden, CT 06518 | 2008-09-09 |
| 1790942100 | Wellcare of Connecticut, Inc. | Health Maintenance Organization | 2319 Whitney Avenue, 6th Floor, Hamden, CT 06518 | 2008-05-22 |
| 1720295165 | Susan Norkus | Specialist/Technologist | 275 Mt. Carmel Ave., Quinnipiac University, Hamden, CT 06518 | 2007-05-16 |
| 1447385620 | Fritz & Hawley Vision Center | Technician/Technologist | 2313 Whitney Ave, Suite 1d, Hamden, CT 06518 | 2007-02-21 |
| Find all providers in zip 06518 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679103931 | Gail Joan Dalby | Specialist | 1360 Whitney Ave, Hamden, CT 06517-2400 | 2020-01-24 |
| 1912344706 | Brittney Alexis Little | Specialist | 36 Merrimac St, Hamden, CT 06514-3507 | 2013-06-03 |
| 1730205865 | Foster Kay | Specialist | 30 Charlton Hill Rd, Hamden, CT 06518-2550 | 2007-03-21 |
| 1801862073 | Linda Marie Hodgkins | Specialist | 3074 Whitney Ave, Building 1, Hamden, CT 06518-2391 | 2006-02-27 |
| 1952389827 | Gordon C Hurlbert IIi | Specialist | 275 Mount Carmel Ave, Gm-ath Rm 135, Hamden, CT 06518-1961 | 2006-01-02 |
| 1902265531 | Adam Pallone | Specialist | 275 Mount Carmel Ave, Gm-ath, Hamden, CT 06518-1961 | 2016-02-10 |
| 1578721072 | Allen M Ferrucci | Specialist | 2408 Whitney Ave, Hamden, CT 06518-3209 | 2008-05-30 |
| 1609082809 | Arthritis & Osteoporosis Center, P.C. | Specialist | 3018 Dixwell Ave, Hamden, CT 06518-3508 | 2007-05-15 |
| 1235351743 | Jennifer A. Skelley | Specialist | 275 Mount Carmel Ave, Gm-ath, Hamden, CT 06518 | 2007-05-03 |
| 1669693826 | Jennifer Mead | Specialist | 275 Mount Carmel Ave, Hamden, CT 06518 | 2007-05-02 |
| Find all providers in HAMDEN | ||||
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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.