ONCOLOGY ASSOCIATES OF BRIDGEPORT PC (NPI# 1871667055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871667055 |
| Entity Type | Organization |
| Organization Name | ONCOLOGY ASSOCIATES OF BRIDGEPORT PC |
| Practice Address |
5520 Park Ave Suite 203 Trumbull CT 06611-3463 |
| Practice Telephone | 2035028400 |
| Practice Fax Number | 2035028409 |
| Mailing Telephone | 2035028400 |
| Mailing Fax Number | 2035028409 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2010-07-15 |
| Authorized Official Name | ROBERT S FOLMAN (PRESIDENT) |
| Authorized Official Telephone | 2035028400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Street Address |
5520 PARK AVE SUITE 203 |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-3463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487652665 | David H Witt | Internal Medicine | 5520 Park Ave, Ste 203, Trumbull, CT 06611-3463 | 2005-07-12 |
| 1053947465 | Hyungbok H Jeong | Nurse Practitioner | 5520 Park Ave, Trumbull, CT 06611-3463 | 2020-03-17 |
| 1902375835 | Laura Elizabeth Morris | Physician Assistant | 5520 Park Ave, Trumbull, CT 06611-3463 | 2018-11-20 |
| 1629581053 | Sophie Jaffe | Social Worker | 5520 Park Ave, Trumbull, CT 06611-3463 | 2017-11-07 |
| 1154834786 | Jordan Marcou | Physician Assistant | 5520 Park Ave, Trumbull, CT 06611 | 2017-11-06 |
| 1013439769 | Alexis Grace Shaub | Physician Assistant | 5520 Park Ave, Trumbull, CT 06611-3463 | 2017-07-14 |
| 1902346224 | Catherine Wei | Internal Medicine | 5520 Park Ave, Trumbull, CT 06611-3463 | 2017-03-06 |
| 1649725656 | Jenna Addison | Registered Nurse | 5520 Park Ave, Trumbull, CT 06611-3463 | 2016-08-19 |
| 1447519582 | Jill Cooper Kenney | Naturopath | 5520 Park Ave, Trumbull, CT 06611-3463 | 2012-05-10 |
| 1457619660 | Pain & Spine Specialists of Connecticut LLC | Specialist | 5520 Park Ave, 303, Trumbull, CT 06611-3463 | 2012-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153326 | Justin Elijah Brantley | Physical Therapist | 888 White Plains Road Suite 209, Trumbull, CT 06611 | 2020-01-14 |
| 1184135733 | Stephen Graham | Speech-Language Pathologist | 126 Monroe Turnpike Suite #210, Trumbull, CT 06611 | 2017-10-22 |
| 1891214458 | Rachel Lopes | Social Worker | 132 Monroe Turnpike, 3rd Floor Suite 1, Trumbull, CT 06611 | 2017-09-14 |
| 1588193981 | James Geisler | Counselor | 23 Wilmot Ave., Trumbull, CT 06611 | 2017-06-08 |
| 1215463807 | Rodrigo Fernandez | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 | 2017-05-03 |
| 1285087650 | Trumbull Pharmacy LLC | Pharmacy | 10 Broadway Road, Bldg B, Unit B, Trumbull, CT 06611 | 2016-07-20 |
| 1063897601 | Camilla Marie Schnaitmann | Social Worker | 132 Monroe Turnpike, Trumbull, CT 06611 | 2015-07-24 |
| 1194107318 | Alison R Kudish | Dentist | 160 Hawley Ln Ste 101, Trumbull, CT 06611 | 2015-06-24 |
| 1639456783 | Sagar Makanji | Pharmacist | 5065 Main Street, Ste Target, Target Pharmacy, Store 2361, Trumbull, CT 06611 | 2011-11-03 |
| 1639485956 | Beata Everett | Social Worker | 42 Craig Lane, Trumbull, CT 06611 | 2010-08-24 |
| Find all providers in zip 06611 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588758718 | Neal A Fischbach | Internal Medicine | 15 Corporate Drive, Trumbull, CT 06611 | 2006-10-03 |
| 1114011343 | Jerry P Malefatto | Internal Medicine | 15 Corporate Drive, Trumbull, CT 06611 | 2006-10-03 |
| 1932293164 | Laurie J Harrold | Internal Medicine | 15 Corporate Drive, Trumbull, CT 06611 | 2006-10-03 |
| 1295733491 | Black Rock Tpk Med Grp | Internal Medicine | 5520 Park Ave, Suite 203, Trumbull, CT 06611-3463 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154751907 | David S Fischer | Internal Medicine | 17 Abigail St, Milford, CT 06460-7918 | 2013-11-14 |
| 1265746879 | Eric Bleickardt | Internal Medicine | 3 Hidden Brook Rd, Hamden, CT 06518-1764 | 2010-08-06 |
| 1467763946 | Kelsey Thompson Martin | Internal Medicine | 240 Indian River Rd Ste A1, Orange, CT 06477-3690 | 2010-06-29 |
| 1780907295 | Kenneth L Sacks | Internal Medicine | 10 Oyster Landing Rd, Milford, CT 06460-6566 | 2010-03-11 |
| 1396981668 | Michael W Rosen | Internal Medicine | 32 Mackay Farm Rd, Woodbury, CT 06798-2509 | 2008-12-17 |
| 1083879134 | Jia Li | Internal Medicine | 950 Campbell Ave # 111d, West Haven, CT 06516-2770 | 2008-07-28 |
| 1760643407 | Sudhanshu Bharat Mulay | Internal Medicine | 114 Woodland Street / Cancer Center, Saint Francis Medical Group, Inc, Hartford, CT 06105-0000 | 2008-06-24 |
| 1194938324 | Anamika Katoch | Internal Medicine | 1075 Chase Pkwy Ste B, Harold Leever Cancer Center, Waterbury, CT 06708-2948 | 2007-05-07 |
| 1760694327 | Joseph Donadio | Internal Medicine | 140 Blue Hills Rd, Durham, CT 06422-3100 | 2007-05-04 |
| 1720136757 | Wylie David Hosmer | Internal Medicine | 55 Meriden Ave Ste 1a, Southington, CT 06489-3237 | 2007-01-08 |
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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.