Nicholas A Lillo (NPI# 1144482308, PAC ID# 0042453003) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1144482308 |
| PAC ID by PECOS | 0042453003 |
| Professional Enrollment ID | I20130823000870 |
| Full Name | Nicholas A Lillo |
| Organization Legal Name | GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD PC |
| Address |
425 Post Rd Fairfield CT 06824-6232 |
| Phone Number | 2032929000 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 2007 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 3274506290 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070010 | BRIDGEPORT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4641 Main St, Suite 1, Bridgeport, CT 06606-1827 | 2033744966 | FAIRFIELD COUNTY INTERNAL MEDICINE AND GASTROENTEROLOGY ASSOCIATES PC |
| 425 Post Rd, Fairfield, CT 06824-6232 | 2032929000 | GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD PC |
| Organization Legal Name | GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD PC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian T Clancy | Physician Assistant | Gastroenterology Associates of Fairfield PC | 425 Post Rd, Fairfield, CT 06824-6232 |
| Emil J Blanco | Gastroenterology | Gastroenterology Associates of Fairfield PC | 425 Post Rd, Fairfield, CT 06824-6232 |
| Gena M Cobrin | Gastroenterology | Gastroenterology Associates of Fairfield PC | 425 Post Rd, Fairfield, CT 06824-6232 |
| Tarun K Gupta | Gastroenterology | Gastroenterology Associates of Fairfield PC | 425 Post Rd, Fairfield, CT 06824-6232 |
| Julie E Spivack | Gastroenterology | Gastroenterology Associates of Fairfield PC | 425 Post Rd, Fairfield, CT 06824-6232 |
| Agedi Boto | Pathology | Gastroenterology Associates of Fairfield PC | 425 Post Rd, Fairfield, CT 06824-6232 |
| Eugene H Lewis | Pathology | Gastroenterology Associates of Fairfield PC | 425 Post Rd, Fairfield, CT 06824-6232 |
| Chitra Raghavan | Anesthesiology | Gastroenterology Associates of Fairfield PC | 425 Post Rd, Fairfield, CT 06824-6232 |
| Daniel P Stupak | Gastroenterology | Gastroenterology Associates of Fairfield PC | 425 Post Rd, Fairfield, CT 06824-6232 |
| Alan M Nelson | Gastroenterology | Gastroenterology Associates of Fairfield PC | 425 Post Rd, Fairfield, CT 06824-6232 |
| Street Address |
425 POST RD |
| City | FAIRFIELD |
| State | CT |
| Zip | 06824-6232 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian T Clancy | Physician Assistant | Gastroenterology Associates of Fairfield PC | 425 Post Rd, Fairfield, CT 06824-6232 |
| Emil J Blanco | Gastroenterology | Gastroenterology Associates of Fairfield PC | 425 Post Rd, Fairfield, CT 06824-6232 |
| Gena M Cobrin | Gastroenterology | Gastroenterology Associates of Fairfield PC | 425 Post Rd, Fairfield, CT 06824-6232 |
| Tarun K Gupta | Gastroenterology | Gastroenterology Associates of Fairfield PC | 425 Post Rd, Fairfield, CT 06824-6232 |
| Julie E Spivack | Gastroenterology | Gastroenterology Associates of Fairfield PC | 425 Post Rd, Fairfield, CT 06824-6232 |
| Steven V Kardos | Urology | Northeast Medical Group Inc | 425 Post Rd, Suite 204, Fairfield, CT 06824-6232 |
| Seyed A Aleali | Hematology/oncology | Medical Specialists of Fairfield, LLC | 425 Post Rd, Fairfield, CT 06824-6232 |
| Agedi Boto | Pathology | Gastroenterology Associates of Fairfield PC | 425 Post Rd, Fairfield, CT 06824-6232 |
| Eugene H Lewis | Pathology | Gastroenterology Associates of Fairfield PC | 425 Post Rd, Fairfield, CT 06824-6232 |
| Chitra Raghavan | Anesthesiology | Gastroenterology Associates of Fairfield PC | 425 Post Rd, Fairfield, CT 06824-6232 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence D Ludwig | Psychologist, Clinical | 75 Hillside Rd, Fairfield, CT 06824-2840 | |
| Linda M Ludwig | Psychologist, Clinical | 75 Hillside Rd, Fairfield, CT 06824-2840 | |
| Michael Tobet | Chiropractic | 400 Stillson Rd, Fairfield, CT 06824-3103 | |
| David P Isenberg | Psychologist, Clinical | 400 Stillson Rd, Fairfield, CT 06824-3103 | |
| Maxine D Greenberg | Clinical Social Worker | 400 Stillson Rd, Fairfield, CT 06824-3103 | |
| Maryellen Walpole | Clinical Social Worker | 400 Stillson Rd, Fairfield, CT 06824-3103 | |
| Elba I Crespo | Psychologist, Clinical | 60 Katona Dr, Suite 25, Fairfield, CT 06824-3544 | |
| Angelica Fontanez | Clinical Social Worker | Fairfield Counseling Group LLC | 60 Katona Dr, Fairfield, CT 06824-3544 |
| Susan Lipman Henry | Clinical Social Worker | 35 Nutmeg Ln, Fairfield, CT 06824-3909 | |
| Rose Mary Chuley | Psychologist, Clinical | 21 Sigwin Dr, Fairfield, CT 06824-4005 | |
| Find all physicians in zip 06824 | |||
| City | FAIRFIELD |
| Zip Code | 06824 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | FAIRFIELD + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Nicholas A Lillo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.