MASONICARE PRIMARY CARE PHYSICIANS


Address: 67 Masonic Avenue, 1st Floor, Wallingford, CT 06492
Phone: 2032650355

MASONICARE PRIMARY CARE PHYSICIANS (NPI# 1922084540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922084540
Entity Type Organization
Organization Name MASONICARE PRIMARY CARE PHYSICIANS
Practice Address 67 Masonic Avenue
1st Floor
Wallingford
CT 06492
Practice Telephone 2032650355
Practice Fax Number 2032657413
Mailing Telephone 2032650355
Mailing Fax Number 2032657413
Enumeration Date 2005-12-15
Last Update Date 2008-01-02
Authorized Official Name ALLA BERNSHTEYN (PRESIDENT)
Authorized Official Telephone 2032650355
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT 004178605 05

Office Location

Street Address 67 MASONIC AVENUE
1ST FLOOR
City WALLINGFORD
State CT
Zip Code 06492

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891310215 The Promptcare Companies, Inc. Durable Medical Equipment & Medical Supplies 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 2020-06-11
1528692480 Hilary Caitlin Sullivan Nurse Practitioner Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 2020-02-28
1902370943 Alicia Anne Eldridge Student in an Organized Health Care Education/Training Program 88 Cheshire Road, Wallingford, CT 06492 2019-01-13
1114409562 Doreen Gail Barile Pharmacist 846 North Colony Road, Wallingford, CT 06492 2018-09-02
1942782354 Brad Becker Pharmacist 846 North Colony Rd, Walingford, CT 06492 2018-08-31
1477041564 Melissa A Fazzolari Nurse Practitioner 850 N Main Street Ext Ste B, Wallingford, CT 06492 2018-04-25
1992235857 Karen Ann Meers Behavioral Analyst 29 North Plains Highway, Unit 15, Wallingford, CT 06492 2017-06-14
1992232698 Chelsea Clements Occupational Therapist 87 Southwind Dr, Wallingford, CT 06492 2017-05-12
1659822369 Sara Frawley Naturopath 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 2016-10-18
1083085518 Energetic Spine Chiropractic Chiropractor 1271 South Broad St., Unit #11, Wallingford, CT 06492 2015-10-09
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427612100 Holistic Healing Partners, LLC Internal Medicine 290 Baxter Ln, Milford, CT 06460-6813 2019-04-28
1003113762 Jennifer Anne Freimund Internal Medicine 1450 Chapel St Ste 107, New Haven, CT 06511-4405 2011-02-16
1720211444 Joseph Daniel Demayo Internal Medicine 66 Skyline Dr, Middlebury, CT 06762-1717 2009-08-27
1679701882 Southern Connecticut Geriatric & Preventive Medicine LLC Internal Medicine 4 Sagamore Cove Rd, Branford, CT 06405-5020 2009-06-25
1184896151 Geriatric Medicine Consultants Home Visit Practice, LLC Internal Medicine 33 Birch Rd, West Hartford, CT 06119-1009 2008-03-30
1083814339 Lefkowitz & Scollan, M.d.'s,llc Internal Medicine 469 E Main St, Meriden, CT 06450-6027 2007-07-24
1326116948 Barney Spivack Internal Medicine 101 Long Lots Rd, Westport, CT 06880-3919 2006-12-01
1447267026 Casey Ott Internal Medicine 22 Old Waterbury Rd # 103, Southbury, CT 06488-3848 2006-08-03
1447264155 Audrey Lefkowitz Internal Medicine 469 E Main Street, Meriden, CT 06450 2006-07-28
1477583540 Geraldine M Fabregas Internal Medicine 280 Alden Ave, New Haven, CT 06515-2114 2006-07-04
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Competitor

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City WALLINGFORD
Zip Code 06492

Improve Information

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Dataset Information

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.

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