DR. JORGE ENRIQUE OTERO (NPI# 1881651644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881651644 |
| Entity Type | Individual |
| Full Name | DR. JORGE ENRIQUE OTERO |
| Credential | M.D. |
| Practice Address |
64 Robbins St Waterbury CT 06708-2613 |
| Mailing Address |
22 Turtle Bay Dr Branford CT 06405-4970 |
| Practice Telephone | 2035736205 |
| Mailing Telephone | 2032148360 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2016-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 034599 | CT | Allopathic & Osteopathic Physicians |
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
034599 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629510334 | Jorge Otero | Behavior Technician | 1912 Sw 124th Pl, Miami, FL 33175-7728 | 2016-11-11 |
| 1023398914 | Jorge L Otero | Clinic/Center | 3050 S Dixie Hwy Apt 404, Miami, FL 33133-3544 | 2011-08-23 |
| 1083719025 | Jorge E Otero | Specialist | 6101 Webb Rd Ste 306, Tampa, FL 33615-2866 | 2006-09-14 |
| 1164462370 | Jorge Edgardo Otero | Psychiatry & Neurology | 305 Seventh Avenue, 2nd Floor, New York, NY 10001-6008 | 2006-06-07 |
| 1285691899 | Jorge A Otero | Pediatrics | 2223 Linden St, Bethlehem, PA 18017-4806 | 2006-04-27 |
| Street Address |
64 ROBBINS ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-2613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598755753 | Robert E Murray IIi | Emergency Medicine | 64 Robbins St, Waterbury, CT 06708-2613 | 2005-10-27 |
| 1306456116 | Christine Zarrella Cipriani | Registered Nurse | 64 Robbins St, Waterbury, CT 06708-2600 | 2020-08-06 |
| 1386261949 | Dorothy Sliwonik | Nurse Anesthetist, Certified Registered | 64 Robbins St, Waterbury, CT 06708-2613 | 2020-06-30 |
| 1154951341 | Christina Devi Drelichowski | Emergency Medicine | 64 Robbins St, Waterbury, CT 06708-2600 | 2020-01-16 |
| 1356818421 | Olanike Oyeyemi Idowu | Nurse Practitioner | 64 Robbins St, Waterbury, CT 06708-2613 | 2018-10-26 |
| 1881172500 | Elizabeth Ann Lawton | Nurse Practitioner | 64 Robbins St, Waterbury, CT 06708-2613 | 2018-08-03 |
| 1578041430 | Kerry Petrello | Registered Nurse | 64 Robbins St, Waterbury, CT 06708 | 2018-08-02 |
| 1245721091 | Eric M Mukherjee | Student in an Organized Health Care Education/Training Program | 64 Robbins St, Waterbury, CT 06708-2613 | 2018-05-27 |
| 1225528870 | Stephanie Lauren Gunpat | Nurse Practitioner | 64 Robbins St, Waterbury, CT 06708-2613 | 2018-05-18 |
| 1265921399 | Andrea Lynne Grammatico | Physician Assistant | 64 Robbins St, Waterbury, CT 06708-2613 | 2018-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033755095 | Yael Maritza Calle | Emergency Medicine | 56 Franklin St, Waterbury, CT 06706-1253 | 2019-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730790858 | Antero Urgent Care | Emergency Medicine | 39 Nott Hwy Unit 7, Ashford, CT 06278-1341 | 2020-08-12 |
| 1336451830 | Paul S Kanfer | Emergency Medicine | 16 Baldwin Dr, Waterford, CT 06385-2708 | 2010-07-13 |
| 1760501126 | Town of Wilton Emergency Medical Services | Emergency Medicine | 238 Danbury Road, Wilton, CT 06897-4008 | 2007-03-28 |
| 1831279058 | Victor Isaac Cohen | Emergency Medicine | 7 Linden Tree Rd, New Milford, CT 06776-3056 | 2006-10-16 |
| 1629013123 | Andrew S Whyte | Emergency Medicine | 50 Hospital Hill Dr, Er Department, Sharon, CT 06069 | 2006-06-18 |
| 1720023294 | Richard A Bennek | Emergency Medicine | 50 Hospital Hill Drive, Er Department, Sharon, CT 06069 | 2006-06-18 |
| 1750329363 | Elizabeth M. Earley | Emergency Medicine | 317 Foxon Rd, East Haven, CT 06513-2038 | 2006-06-04 |
| 1154836450 | Town of North Haven | Emergency Medicine | 11 Broadway, North Haven, CT 06473 | 2017-12-08 |
| 1053864348 | A Walk-in Medical Center LLC | Emergency Medicine | 365 Willard Ave, Suite 2e, Newington, CT 06111-2373 | 2016-08-03 |
| 1306243571 | Excel Urgent Care of Stamford, LLC | Emergency Medicine | 623 Newfield Ave, Stamford, CT 06905-3302 | 2014-12-03 |
| Find all providers with the same taxonomy | ||||
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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.