ERIC BLACK (NPI# 1962874792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962874792 |
| Entity Type | Individual |
| Full Name | ERIC BLACK |
| Credential | PA-C |
| Practice Address |
1650 Dixwell Ave Hamden CT 06514-3615 |
| Mailing Address |
204 8th Ave Haddon Heights NJ 08035-1631 |
| Practice Telephone | 2032881700 |
| Mailing Telephone | 6096050333 |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
3462 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174000285 | Eric Black | Pharmacist | 657 Us Highway 101 N, Crescent City, CA 95531-2306 | 2018-07-20 |
| 1730526013 | Eric J Black | Counselor | 1261 Chaffer Dr, Rochester Hills, MI 48306-3714 | 2013-05-28 |
| 1831528066 | Eric Black | Social Worker | 51 Market St, Bangor, PA 18013-1901 | 2013-11-07 |
| 1982863338 | Eric M Black | Orthopaedic Surgery | 140 Park Ave, Florham Park, NJ 07932-1049 | 2008-06-02 |
| 1245323005 | Eric Richard Black | Psychiatry & Neurology | 901 W Jefferson St, Springfield, IL 62702-4833 | 2006-10-02 |
| 1598877961 | Eric Lee Black | Pharmacist | 2339 Broadway St, Mount Vernon, IL 62864-2925 | 2006-08-31 |
| 1154364305 | Eric Black | Dentist | 2920 N 4th St, Flagstaff, AZ 86004-1816 | 2006-06-14 |
| Street Address |
1650 DIXWELL AVE |
| City | HAMDEN |
| State | CT |
| Zip Code | 06514-3615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841450657 | Ayesha Chaudhry | Internal Medicine | 1650 Dixwell Ave, Hamden, CT 06514-3615 | 2008-06-16 |
| 1588123053 | Jason Michael Lorch | Physician Assistant | 1650 Dixwell Ave, Hamden, CT 06514-3615 | 2019-03-14 |
| 1396217675 | Jordan Nicole Kingdon | Physician Assistant | 1650 Dixwell Ave, Hamden, CT 06514-3615 | 2018-12-26 |
| 1164970489 | Pioneer Rehab LLC | Physical Therapist | 1650 Dixwell Ave, Hamden, CT 06514-3615 | 2016-09-15 |
| 1063852275 | Chaudhry Medical Group, PC. | Internal Medicine | 1650 Dixwell Ave, A, Hamden, CT 06514-3147 | 2013-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063062339 | New Beginnings Behavioral Health LLC | Social Worker | 641 Gilbert Avenue, Hamden, CT 06514 | 2019-09-18 |
| 1376105767 | Mcangel Home Visiting Nurses LLC | Home Health | 1135 Sherman Ave., Hamden, CT 06514 | 2019-07-05 |
| 1467926139 | First Step Gentle Care Labor Doula Service | Doula | 20 Elliot Drive, Hamden, CT 06514 | 2019-01-16 |
| 1841781382 | Clifford W. Beers Guidance Clinic Inc | Clinic/Center | 41 Marne St, Hamden, CT 06514 | 2018-05-21 |
| 1023513272 | Ashley Nicole Miano | Behavioral Analyst | 60 Conway Parkway, Building 2b, Suite 110, Hamden, CT 06514 | 2018-03-29 |
| 1619485166 | Hlc Partners LLC | Clinic/Center | 39 Marme St, Hamden, CT 06514 | 2018-01-18 |
| 1851832752 | Kareise Caldwell | Counselor | 123 Pinerock, Hamden, CT 06514 | 2017-03-13 |
| 1417407255 | Tempestt S Latham | Dental Hygienist | 158 Pearl Ave, Hamden, CT 06514 | 2016-10-05 |
| 1679945356 | Carolina Nanetrivera Parrott | Social Worker | 180 Pine Rock Ave, Hamden, CT 06514 | 2015-10-21 |
| 1629446976 | Ebun Aderibole | Counselor | 823 Pine Rock Ave, Hamden, CT 06514 | 2015-09-03 |
| Find all providers in zip 06514 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194869719 | Bonnie Hataley | Physician Assistant | 20 Valley View Ct, Hamden, CT 06518-2751 | 2007-02-16 |
| 1609331933 | Stephen Pollani | Physician Assistant | 2165 Dixwell Ave, Hamden, CT 06514-2116 | 2019-01-31 |
| 1316311046 | Daniel Berluti | Physician Assistant | 2165 Dixwell Ave, Hamden, CT 06514-2116 | 2015-11-18 |
| 1538426804 | Israel Sk Mushi | Physician Assistant | 1684 Dixwell Ave, Hamden, CT 06514-3111 | 2012-04-11 |
| 1073787677 | Randy M Johnson | Physician Assistant | 2200 Whitney Avenue, Suite 360, Hamden, CT 06518-3694 | 2008-04-15 |
| 1710069455 | Courtney Calandro | Physician Assistant | 2200 Whitney Ave, Suite 360, Hamden, CT 06518-3691 | 2006-10-20 |
| 1841386208 | Christine Ann Rowland | Physician Assistant | 2080 Whitney Ave, Suite 210, Hamden, CT 06518-3600 | 2006-10-05 |
| 1316056294 | Suzanne Robinson | Physician Assistant | 2200 Whitney Ave, Suite 100, Hamden, CT 06518-3691 | 2006-08-30 |
| 1295841617 | Sherri L O'connor | Physician Assistant | 9 Washington Ave, Hamden, CT 06518-3267 | 2006-08-21 |
| 1790898401 | Kevin R. Leonard-pasley | Physician Assistant | 2543 Dixwell Ave, Hamden, CT 06514-1809 | 2006-08-16 |
| Find all providers in HAMDEN | ||||
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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.