MR. MARK S JADOFSKY (NPI# 1912161969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912161969 |
| Entity Type | Individual |
| Full Name | MR. MARK S JADOFSKY |
| Credential | PO1 |
| Practice Address |
15 Mohegan Ave U.S. Caost Guard Academy New London CT 06320-0052 |
| Mailing Address |
15 Mohegan Ave Uscg Academy New London CT 06320 |
| Practice Telephone | 8604448402 |
| Mailing Telephone | 8604448402 |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
15 MOHEGAN AVE U.S. CAOST GUARD ACADEMY |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320-0052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114913316 | Christopher Bellizzi | Massage Therapist | 15 Mohegan Ave, New London, CT 06320-8100 | 2005-09-22 |
| 1689204919 | Colleen Mccue | Physician Assistant | 15 Mohegan Ave, New London, CT 06320-8100 | 2020-01-26 |
| 1184146029 | Elizabeth A Fitch | Registered Nurse | 15 Mohegan Ave, Michel Hall, New London, CT 06320 | 2017-07-12 |
| 1295181709 | Katrina Rochester | Registered Nurse | 15 Mohegan Ave, New London, CT 06320-8100 | 2016-05-13 |
| 1568863843 | Micah Gentile | Physician Assistant | 15 Mohegan Ave, New London, CT 06320-8100 | 2014-09-05 |
| 1174960223 | Karen Louise Robertson | Dental Hygienist | 15 Mohegan Ave, New London, CT 06320-8100 | 2013-05-30 |
| 1124274816 | Eugene Francis Pereira | Spec/Tech, Pathology | 15 Mohegan Ave, Uscga Medical, New London, CT 06320-4195 | 2008-08-13 |
| 1275700403 | Mary Lathrop | Specialist/Technologist | 15 Mohegan Ave, Michel Hall, New London, CT 06320-8100 | 2008-05-16 |
| 1366619512 | Reina Carolina Garcia | Dental Assistant | 15 Mohegan Ave, Uscgacademy (m), New London, CT 06320-8100 | 2008-05-15 |
| 1881861599 | Sherry Kay Glidewell | Dental Hygienist | 15 Mohegan Ave, Michel Hall, New London, CT 06320-8100 | 2008-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824891 | Shilpi Jain | Physical Therapist | 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 | 2020-06-05 |
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 1043668320 | Cultivate & Grow Inc. | Counselor | 302 State St Suite 307, New London, CT 06320 | 2016-05-27 |
| 1295137263 | Jacqueline Durnell | Registered Nurse | 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 | 2014-09-22 |
| 1922427541 | Corina Vendetto | Registered Nurse | 245 Shaw St., New London, CT 06320 | 2014-04-10 |
| 1912329962 | Janelle Posey-green | Social Worker | 302 State St., Suite 201, New London, CT 06320 | 2014-01-10 |
| 1750622692 | Cynthia Mitchell | Social Worker | 65b Michael Rd, New London, CT 06320 | 2013-03-01 |
| 1518254507 | Simon J Shapiro | Physical Medicine & Rehabilitation | 190 Howard Avenue, New London, CT 06320 | 2011-06-29 |
| 1184876708 | Jane P Genido-trujillo | Nurse Practitioner | 270 Mohegan Ave., Student Health Services, New London, CT 06320 | 2008-10-14 |
| 1932356284 | Gerard Joseph Ventura | Dentist | 21 Montauk Ave., Suite 102, New London, CT 06320 | 2008-08-19 |
| Find all providers in zip 06320 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881787950 | Kristen Leigh Perfater | Technician, Other | 45 Mohegan Ave, Uscgc Eagle (wix 327), New London, CT 06320-8110 | 2006-10-02 |
| 1013000314 | Brett Taylor | Technician, Other | 15 Mohegan Ave, New London, CT 06320-8100 | 2006-10-02 |
| 1346332616 | Bryan D Smedley | Technician, Other | 15 Mohegan Ave, Medical Clinic, New London, CT 06320-8100 | 2006-09-28 |
| 1710084843 | Trent Pierce | Technician, Other | 15 Mohegan Ave, New London, CT 06320-8100 | 2006-09-20 |
| 1326014374 | Samud Ishimu Looney | Technician, Other | 15 Mohegan Ave, Uscg Academy Clinic, New London, CT 06320-8100 | 2006-02-28 |
| 1063488443 | Jason Phillip Faris | Technician, Other | 15 Mohegan Ave, New London, CT 06320-8100 | 2006-02-27 |
| 1689640062 | Daniel Rudy Perkins | Technician, Other | 15 Mohegan Ave, New London, CT 06320 | 2006-02-27 |
| 1083689871 | Schon C Russell | Technician, Other | 15 Mohegan Ave, New London, CT 06320-8100 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972098184 | Kenderick Renard Street Jr. | Technician, Other | 503 Townsend Ave, New Haven, CT 06512-3653 | 2018-06-29 |
| 1992245419 | Connecticut Lice Treatment, LLC | Technician, Other | 25 Bulkley Ave N, Westport, CT 06880-4110 | 2017-03-02 |
| 1962942490 | New York Lice Treatment, LLC | Technician, Other | 40 S Olmstead Ln, Ridgefield, CT 06877-5529 | 2017-03-02 |
| 1952741522 | Chalet Hair & Wig Design | Technician, Other | 1 Crane Ave, Norwich, CT 06360-5405 | 2013-06-27 |
| 1275564700 | Martinez Mckeithan | Technician, Other | 120 Woodward Ave, Commander Uscg Sector Long Island Sound, New Haven, CT 06512-3628 | 2006-07-05 |
| 1336115278 | Erika Veronica Tijerina | Technician, Other | 15 Jackson Dr, Groton, CT 06340-2427 | 2006-02-28 |
| 1396722831 | Vincentia A Blake | Technician, Other | 378 Peck St, B, New Haven, CT 06513-2900 | 2005-12-27 |
| 1639707870 | Brittany Hayes | Technician, Other | 30 Old Kings Hwy S Fl 2, Darien, CT 06820-4551 | 2020-04-01 |
| 1487045860 | Krisan Bradley | Technician, Other | 25 Boston Post Rd, Orange, CT 06477-3203 | 2015-02-06 |
| 1730579392 | Aidaliz Vizcaino | Technician, Other | 5065 Main St, Trumbull, CT 06611-4204 | 2015-02-03 |
| Find all providers with the same taxonomy | ||||
| City | NEW LONDON |
| Zip Code | 06320 |
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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.