DR. ANDREA JILL NEEDLEMAN (NPI# 1104905462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104905462 |
| Entity Type | Individual |
| Full Name | DR. ANDREA JILL NEEDLEMAN |
| Credential | M.D. |
| Practice Address |
4 South Pomperaug Ave Woodbury CT 06798 |
| Practice Telephone | 2032632020 |
| Practice Fax Number | 2032630251 |
| Mailing Telephone | 2032632020 |
| Mailing Fax Number | 2032630251 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2015-06-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 27214 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001272145 | 05 |
| Street Address |
4 SOUTH POMPERAUG AVE |
| City | WOODBURY |
| State | CT |
| Zip Code | 06798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655422 | Tara Tranguch | Naturopath | 74 Main Street North, Bldg 2 - Apt 204, Woodbury, CT 06798 | 2020-10-03 |
| 1831469949 | Shannon Marie Alther | Social Worker | 660 Main St S Ste 5, Woodbury, CT 06798 | 2012-01-05 |
| 1942483060 | Karen P Sheehan-wolff | Social Worker | 39 Sherman Hill Road, Cornerstone Professional Park, Suite C101, Woodbury, CT 06798 | 2007-12-12 |
| 1609801497 | James B Marshall | Dentist | 357 Main Street South, Woodbury, CT 06798 | 2006-07-11 |
| 1629020797 | Karen Bavaro Lawlor | Chiropractor | 2 White Oak Road, Bavaro Chiropractic Center LLC, Woodbury, CT 06798 | 2006-05-17 |
| 1346643251 | Katherine Layman | Naturopath | 787 Main St S Unit A-5, Woodbury, CT 06798 | 2014-10-06 |
| 1972912079 | Stephanie Lynam | Psychologist | 175 Main St S, Woodbury, CT 06798 | 2014-08-04 |
| 1639302847 | Douglas Foster Thompson | Counselor | 51 Sherman Hill Rd, Building A, Suite 104c, Woodbury, CT 06798 | 2009-09-03 |
| 1770562720 | Woodbury Physical Therapy LLC | Physical Medicine & Rehabilitation | 264 Main St S, Ste 200, Woodbury, CT 06798 | 2006-01-10 |
| 1528674819 | Flourishing Roots Therapy LLC | Social Worker | 51 Sherman Hill Rd, Building A, Suite 202, Woodbury, CT 06798-0679 | 2020-09-22 |
| Find all providers in zip 06798 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942747365 | Balsam Partners, Pllc | Family Medicine | 203 W High St # 24, Woodbury, TN 37190-1147 | 2017-01-23 |
| 1720271356 | Mona Parmar | Family Medicine | 10248 Grand Oaks Trl, Woodbury, MN 55129-4249 | 2007-08-27 |
| 1831317320 | East Metro Family Practice, P.a. | Family Medicine | 2056 Woodlane Dr, Woodbury, MN 55125-2917 | 2007-04-23 |
| 1962578807 | Barbara J Roehl | Family Medicine | 75 W. Red Bank Ave, Woodbury, NJ 08096 | 2006-11-24 |
| 1306924915 | James Ilko | Family Medicine | 1687 Woodlane Drive, Suite 102, Woodbury, MN 55125-3045 | 2006-11-01 |
| 1942237151 | Sandra Louise Coffin | Family Medicine | 8360 City Centre Dr, Suite 120, Woodbury, MN 55125-3381 | 2006-06-26 |
| 1700823713 | Jeff Todd | Family Medicine | 205 S Mccrary St, Woodbury, TN 37190-1439 | 2006-05-31 |
| 1205882438 | Emi Chiusano | Family Medicine | 875 Mantua Pike, Woodbury, NJ 08096-3337 | 2006-05-26 |
| 1659332021 | Mary L Ezzo | Family Medicine | 8675 Valley Creek Road, Woodbury, MN 55125-2337 | 2006-03-28 |
| 1740249457 | Marcus Magnet | Family Medicine | 831 Kings Hwy, Suite 100, Woodbury, NJ 08096-3162 | 2006-03-21 |
| Find all providers in WOODBURY | ||||
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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.