Susan E Grey (NPI# 1952336893, PAC ID# 7911946173) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED CLINICAL NURSE SPECIALIST (CNS).
| Nation Provider ID (NPI) | 1952336893 |
| PAC ID by PECOS | 7911946173 |
| Professional Enrollment ID | I20050427000554 |
| Full Name | Susan E Grey |
| Organization Legal Name | GILEAD COMMUNITY SERVICES, INC. |
| Address |
230 Main St Ext Middletown CT 06457-4470 |
| Phone Number | 86034353003421 |
| Gender | F |
| Credential | CNS |
| Medical School | UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
| Group Practice PAC ID | 0244289643 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070020 | MIDDLESEX HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 230 Main St Ext, Middletown, CT 06457-4470 | 86034353003421 | GILEAD COMMUNITY SERVICES, INC. |
| Organization Legal Name | GILEAD COMMUNITY SERVICES, INC. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stuart M Forman | Psychiatry | Gilead Community Services, Inc. | 230 Main St Ext, Middletown, CT 06457-4470 |
| James Gusfa | Psychiatry | Gilead Community Services, Inc. | 230 Main St Ext, Middletown, CT 06457-4470 |
| Dawn E Lee | Nurse Practitioner | Gilead Community Services, Inc. | 230 Main St Ext, Middletown, CT 06457-4470 |
| Street Address |
230 MAIN ST EXT |
| City | MIDDLETOWN |
| State | CT |
| Zip | 06457-4470 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stuart M Forman | Psychiatry | Gilead Community Services, Inc. | 230 Main St Ext, Middletown, CT 06457-4470 |
| James Gusfa | Psychiatry | Gilead Community Services, Inc. | 230 Main St Ext, Middletown, CT 06457-4470 |
| Dawn E Lee | Nurse Practitioner | Gilead Community Services, Inc. | 230 Main St Ext, Middletown, CT 06457-4470 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lewis R Labbadia | Chiropractic | Labbadia Carroccia Chiropractic Offices PC | 909 Newfield St, Middletown, CT 06457-1817 |
| Candito C Carroccia | Chiropractic | Labbadia Carroccia Chiropractic Offices PC | 909 Newfield St, Middletown, CT 06457-1817 |
| William F Weiss | Chiropractic | Labbadia Carroccia Chiropractic Offices PC | 909 Newfield St, Middletown, CT 06457-1817 |
| Janet S Shapiro-weiss | Psychiatry | 7 Spring St, Middletown, CT 06457-2238 | |
| Paige Abby Mcmullen | Clinical Social Worker | 136 Lincoln St, Middletown, CT 06457-2641 | |
| Tiffany T Perri | Optometry | Oculus, LLC | 460 Main St, Middletown, CT 06457-2855 |
| Jola Rzegocki | Optometry | Oculus, LLC | 460 Main St, Middletown, CT 06457-2855 |
| Jenny Y Cha | Optometry | Oculus, LLC | 460 Main St, Middletown, CT 06457-2855 |
| Michael Vajda | Chiropractic | 761 Washington St, Middletown, CT 06457-2903 | |
| Jyoti Mittal | Physician Assistant | Mhs Primary Care, Inc | 896 Washington St, Middletown, CT 06457-2912 |
| Find all physicians in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| Specialty | CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
| City + Specialty | MIDDLETOWN + CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
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| 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.