BRIDGEPORT HOSPITAL (NPI# 1790837227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790837227 |
| Entity Type | Organization |
| Organization Name | BRIDGEPORT HOSPITAL |
| Practice Address |
267 Grant St Bridgeport CT 06610-2805 |
| Practice Telephone | 2033843775 |
| Mailing Telephone | 2033843775 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2019-09-18 |
| Authorized Official Name | MR. EUGENE COLUCCI (VP REV CYCLE YNHHS/VP FINANCE BH) |
| Authorized Official Telephone | 2038633008 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 040 | CT | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004041703 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558896431 | Bridgeport Hospital | General Acute Care Hospital | 6150 Stumph Rd Apt 204, Parma, OH 44130-1872 | 2017-04-27 |
| 1174147052 | Bridgeport Hospital | Internal Medicine | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-06-05 |
| 1205362423 | Bridgeport Hospital | General Acute Care Hospital | 226 Mill Hill Ave, Bridgeport, CT 06610-2826 | 2017-05-08 |
| 1275072985 | Bridgeport Hospital | Clinic/Center | 226 Mill Hill Ave, Bridgeport, CT 06610-2826 | 2017-02-14 |
| 1962952671 | Bridgeport Hospital | Registered Nurse | 267 Grant St, Bridgeport, CT 06610-2805 | 2016-10-05 |
| 1871807446 | Bridgeport Hospital | General Acute Care Hospital | 267 Grant St, Bridgeport, CT 06610-2805 | 2010-08-05 |
| 1568613040 | Bridgeport Hospital | General Acute Care Hospital | 267 Grant St, Bridgeport, CT 06610-2805 | 2008-10-02 |
| 1508038282 | Bridgeport Hospital | General Acute Care Hospital | 267 Grant St, Bridgeport, CT 06610-2805 | 2008-04-02 |
| 1992910152 | Bridgeport Hospital | General Acute Care Hospital | 267 Grant Street, Bridgeport, CT 06610 | 2007-05-11 |
| 1609928134 | Bridgeport Hospital | Psychiatric Unit | 267 Grant St, Bridgeport, CT 06610-2805 | 2007-01-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BRIDGEPORT HOSPITAL | 267 Grant St, Bridgeport, CT 06610-2805 |
| Connecticut Business Registrations | BRIDGEPORT HOSPITAL | 267 Grant Street, Bridgeport, CT 06610 |
| Connecticut Business Registrations | BRIDGEPORT HOSPITAL & HEALTHCARE SERVICES, INC. | 267 Grant Street, Bridgeport, CT 06610 |
| Connecticut Business Registrations | BRIDGEPORT HOSPITAL - ARC MRI, LLC | 267 Grant Street, Bridgeport, CT 06610 |
| Connecticut Business Registrations | BRIDGEPORT HOSPITAL AUXILIARY, INC. | 267 Grant Street, Bridgeport, CT 06610 |
| Connecticut Business Registrations | BRIDGEPORT HOSPITAL FOUNDATION, INC. | 267 Grant Street, Bridgeport, CT 06610 |
| Connecticut Business Registrations | BRIDGEPORT HOSPITAL FRIENDS OF PEDIATRICS, INC. | Jennifer Willcox, Esq., Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 |
| Street Address |
267 GRANT ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06610-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104818376 | Anthony Peluso | Anesthesiology | 267 Grant St, Bridgeport Anesthesia Associates, PC, Bridgeport, CT 06610-2805 | 2005-08-16 |
| 1992306138 | Anna Maria Clabby | Nurse Practitioner | 267 Grant St, Bridgeport, CT 06610-2870 | 2020-11-04 |
| 1336756519 | Jane Silva | Physical Medicine & Rehabilitation | 267 Grant St, Bridgeport, CT 06610-2870 | 2020-09-30 |
| 1407461890 | Mary Antonette Evangelista Cordon | Pharmacist | 267 Grant St, Bridgeport, CT 06610-2870 | 2020-09-11 |
| 1467064022 | Courtney Alexandra Irving | Registered Nurse | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-08-17 |
| 1528677416 | Britnia St. Pierre | Registered Nurse | 267 Grant St, Bridgeport, CT 06610-2870 | 2020-07-27 |
| 1881203040 | Adrianna Janelle Sutfin | Registered Nurse | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-07-23 |
| 1750990081 | Allison Jamie Stark | Nurse Anesthetist, Certified Registered | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-07-22 |
| 1164030565 | Alyssa Garza | Nurse Practitioner | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-07-21 |
| 1730797549 | Laura Bienashski | Student in an Organized Health Care Education/Training Program | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553698 | Juan G Farfan | Nurse Anesthetist, Certified Registered | 267 Grant Sreet, Bridgeport, CT 06610 | 2020-06-22 |
| 1104446145 | Deepak Rajkumar Vangipuram | Student in an Organized Health Care Education/Training Program | Department of Medicine, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-20 |
| 1275152886 | Soniya Abraham | Student in an Organized Health Care Education/Training Program | Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-14 |
| 1538621834 | Yu Mi Kang | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Yale New Haven Health/bridgeport Hosp, Bridgeport, CT 06610 | 2019-04-04 |
| 1073075024 | Ashwin Pramod Deshmukh | Student in an Organized Health Care Education/Training Program | Yale New Haven Health / Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2019-04-01 |
| 1790246866 | Prachi Mangesh Pednekar | Student in an Organized Health Care Education/Training Program | Yale New Haven Health/bridgeport Hospital, 261 Grant Street Department of Internal Medicine, Bridgeport, CT 06610 | 2019-03-29 |
| 1194247916 | Jessica M. Maddern | Social Worker | 1558 Barnum Avenue, Building C, Bridgeport, CT 06610 | 2017-07-13 |
| 1922532746 | Megha Kureti | Student in an Organized Health Care Education/Training Program | 267 Grant St Fl 3, Bridgeport, CT 06610 | 2017-04-18 |
| 1831623099 | Cynthia Joseph Walters | Nurse Anesthetist, Certified Registered | Bridgeport Hospital-anesthesia Department, 267 Grant Street, Bridgeport, CT 06610 | 2017-04-14 |
| 1285186148 | Helen Leahy | Nurse Practitioner | 439 Mill Hill Ave., Bridgeport, CT 06610 | 2016-10-26 |
| Find all providers in zip 06610 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396751616 | Svmc Holdings, Inc | Rehabilitation Unit | 2800 Main St, Bridgeport, CT 06606-4201 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367918 | Norwalk Hospital | Rehabilitation Unit | 520 West Ave, Norwalk, CT 06850-4034 | 2020-05-18 |
| 1447453501 | Amfit Physical Therapy LLC | Rehabilitation Unit | 469 W Putnam Ave, Suite 202, Greenwich, CT 06830-6060 | 2007-06-07 |
| 1518019041 | Yale-new Haven Hospital | Rehabilitation Unit | 20 York St, New Haven, CT 06504-8900 | 2007-01-17 |
| 1780748871 | Lawrence and Memorial Hospital, Inc. | Rehabilitation Unit | 365 Montauk Avenue, New London, CT 06320 | 2006-12-21 |
| 1659390573 | Danbury Hospital | Rehabilitation Unit | 24 Hospital Ave, Inpatient Rehabilitation Unit, Danbury, CT 06810-6099 | 2006-07-19 |
| 1902834880 | Hartford Hospital | Rehabilitation Unit | 80 Seymour St, Hartford, CT 06102-8000 | 2006-06-29 |
| 1548269624 | Hospital of Saint Raphael | Rehabilitation Unit | 1450 Chapel St, New Haven, CT 06511-4405 | 2005-07-20 |
| City | BRIDGEPORT |
| Zip Code | 06610 |
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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.