PHYSICIAN SERVICES OF NORTHEAST CONNECTICUT, LLC (NPI# 1841437456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841437456 |
Entity Type | Organization |
Organization Name | PHYSICIAN SERVICES OF NORTHEAST CONNECTICUT, LLC |
Other Organization Name | BROOKLYN FAMILY MEDICINE |
Practice Address |
63 Canterbury Rd Brooklyn CT 06234-1901 |
Mailing Address |
P.o. Box 8469 Belfast ME 04915-8469 |
Practice Telephone | 8607795940 |
Practice Fax Number | 8607795499 |
Mailing Telephone | 8609286541 |
Mailing Fax Number | 8609636450 |
Enumeration Date | 2009-01-20 |
Last Update Date | 2009-01-20 |
Authorized Official Name | ROBERT E SMANIK (CEO) |
Authorized Official Telephone | 8609286541 |
Is Organization Subpart | Y |
Parent Organization Name | DAY KIMBALL HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 1891962221 | 05 |
Other Name | Type Code |
---|---|
Brooklyn Family Medicine | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194966556 | Physician Services of Northeast Connecticut, LLC | Family Medicine | 235 Pomfret St, Putnam, CT 06260-1835 | 2009-03-16 |
1790925105 | Physician Services of Northeast Connecticut, LLC | Internal Medicine | 168 Route 171, South Woodstock, CT 06267 | 2009-02-25 |
Street Address |
63 CANTERBURY RD |
City | BROOKLYN |
State | CT |
Zip Code | 06234-1901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447255963 | Brian S Mcleod | Specialist | 63 Canterbury Rd, Brooklyn, CT 06234-1901 | 2005-06-21 |
1225235757 | Windham Urology Group PC | Urology | 63 Canterbury Rd, Brooklyn, CT 06234-1901 | 2007-06-28 |
1902964414 | Joseph Alessandro | Family Medicine | 63 Canterbury Rd, Brooklyn, CT 06234-1901 | 2006-12-05 |
1538125455 | Maria J Brennan | Nurse Practitioner | 63 Canterbury Rd, Windham Urology Group, Brooklyn, CT 06234 | 2006-04-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427613645 | Brenda Jean Wrenn | Driver | 153 Church St, Brooklyn, CT 06234 | 2019-05-02 |
1205353026 | Brook Bachand | Massage Therapist | 538b Providence Road, Brooklyn, CT 06234 | 2017-08-23 |
1407015977 | Sarah Anne Pasiakos | Speech-Language Pathologist | 50 Westview Drive, Brooklyn, CT 06234 | 2008-06-09 |
1396957965 | Classic Homemakers LLC | Chore Provider | 167 Stetson Rd, Brooklyn, CT 06234 | 2007-05-04 |
1699799130 | Pierce Memorial Baptist Home, Inc. | Nursing Facility/Intermediate Care Facility | 44 Canterbury Road, Brooklyn, CT 06234 | 2006-07-27 |
1366871220 | Quiet Corner Eyecare, LLC | Optometrist | 450 Providence Rd, Walmart Vision Center, Brooklyn, CT 06234 | 2013-11-01 |
1013050053 | Day Drug Inc | Pharmacy | 50 South Main Street, Brooklyn, CT 06234 | 2007-02-15 |
1184927659 | The Learning Clinic, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 476 Pomfret Rd, Brooklyn, CT 06234-1526 | 2010-12-06 |
1932761202 | Tessa Lynn Depasquale | Counselor | 476 Pomfret Rd, Brooklyn, CT 06234-1526 | 2019-07-08 |
1114218229 | Margaret M Downing | Occupational Therapy Assistant | 33 Meadowbrook Dr, Brooklyn, CT 06234-1553 | 2011-04-22 |
Find all providers in zip 06234 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639782972 | Home Physician Assistant Services PC | Family Medicine | 2119 E 15th St Ste B1, Brooklyn, NY 11229-4376 | 2020-08-26 |
1932719044 | Sophie Miro Fortier | Family Medicine | 70 Washington St Apt 7j, Brooklyn, NY 11201-1466 | 2020-08-04 |
1598380701 | Imaduddin Hashmi Md Pllc | Family Medicine | 527 Coney Island Ave, Brooklyn, NY 11218-3466 | 2020-06-12 |
1932723053 | Cherysh Foster | Family Medicine | 299 Malcolm X Blvd, Brooklyn, NY 11233-3996 | 2020-06-04 |
1497377246 | Central Brooklyn Physician Pllc | Family Medicine | 387 Linden Blvd Fl 1, Brooklyn, NY 11203-2823 | 2020-05-15 |
1194350066 | Visavis Health Care Medical Group of Ny, Pllc | Family Medicine | 3923 Fort Hamilton Parkway, Brooklyn, NY 11218-1916 | 2020-03-11 |
1679106330 | Tanya Sereitha Morant | Family Medicine | 193 17th St, Brooklyn, NY 11215-6977 | 2020-02-20 |
1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
1043778038 | Carla Ylose Jean-baptiste | Family Medicine | 1000 E 98th St # 2, Brooklyn, NY 11236-2327 | 2019-03-08 |
1295201424 | Yente Chesny | Family Medicine | 1122 Chestnut Ave, Brooklyn, NY 11230-5844 | 2018-10-15 |
Find all providers in BROOKLYN |
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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.