DR. MICHAEL A REALE (NPI# 1992774434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992774434 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL A REALE |
| Credential | M.D., PHD |
| Practice Address |
100 Haynes St 2nd Floor Manchester CT 06040-4113 |
| Practice Telephone | 8606460670 |
| Practice Fax Number | 8606439388 |
| Mailing Telephone | 8606460670 |
| Mailing Fax Number | 8606439388 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2013-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 030634 | CT | Other Service Providers |
| N | 207R00000X | Internal Medicine | 030634 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001306340 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982930616 | Michael Reale | Dentist | 340 Dogwood Ave, Sutie 109, Franklin Square, NY 11010-3409 | 2009-10-31 |
| Street Address |
100 HAYNES ST 2ND FLOOR |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033667845 | Regional Cancer Care Associates LLC | Internal Medicine | 100 Haynes St, 2nd Floor, Manchester, CT 06040-4113 | 2016-09-21 |
| 1366891475 | Nrron LLC | Clinic/Center | 100 Haynes St, Manchester, CT 06040-4113 | 2016-06-09 |
| 1093022675 | Xuemei Li | Specialist | 100 Haynes St, 2nd Floor, Manchester, CT 06040-4113 | 2010-09-02 |
| 1013178466 | Joseph Francis Mclaughlin | Internal Medicine | 100 Haynes St, Second Floor, Manchester, CT 06040-4113 | 2008-06-18 |
| 1467516773 | Northeast Regional Radiation Oncology Network Inc | Radiology | 100 Haynes St, Manchester, CT 06040-4113 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992227540 | Sandra M Cruz | Specialist | 1016a Buckingham Dr, Manchester, NJ 08759-5301 | 2017-07-14 |
| 1639609746 | Kacey Iannucci | Specialist | 401 Cypress St Ste 300, Manchester, NH 03103-3628 | 2017-06-13 |
| 1063816460 | Networked Practices Integration, Pllc | Specialist | 14 Temple Ct, Manchester, NH 03104-3545 | 2014-10-14 |
| 1831509264 | Theracare, Inc. | Specialist | 485 Memorial Dr, Suite 2, Manchester, KY 40962-9156 | 2014-05-07 |
| 1174883375 | Hillary Beth Hartshorn | Specialist | 315 Merrimack St, Manchester, NH 03103-4722 | 2012-05-22 |
| 1942566336 | Elizabeth Zavagnin | Specialist | 2 Wall St Ste 200, Manchester, NH 03101 | 2012-04-10 |
| 1427284256 | Jennifer Keri Camann | Specialist | 799 Mammoth Rd, Manchester, NH 03104-4556 | 2009-06-08 |
| 1770725384 | Alicia Stanton Md, Pa | Specialist | 195 W Center St, Manchester, CT 06040-4858 | 2009-03-27 |
| 1275775140 | Miles John Mccue | Specialist | 1269 Union St, Manchester, NH 03104-2043 | 2009-03-24 |
| 1124289301 | Carla Joan Lewis | Specialist | 307 Bridge St, Manchester, KY 40962-1266 | 2008-06-20 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
Please comment or provide details below to improve the information on DR. MICHAEL A REALE.
| 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.