NICOLE MUSCATO (NPI# 1164579041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164579041 |
| Entity Type | Individual |
| Full Name | NICOLE MUSCATO |
| Credential | MD |
| Practice Address |
365 Montauk Ave New London CT 06320-4700 |
| Mailing Address |
Po Box 902 New Haven CT 06504-0902 |
| Practice Telephone | 8604445100 |
| Practice Fax Number | 8604443709 |
| Mailing Telephone | 2033978000 |
| Mailing Fax Number | 2033891540 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2014-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
046266 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004121133 | 05 |
| Street Address |
365 MONTAUK AVE |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568460186 | Steven Lu | Internal Medicine | 365 Montauk Ave, Rm 4.512, New London, CT 06320-4700 | 2005-07-08 |
| 1407471246 | Lawrence and Memorial Hospital, Inc. | Internal Medicine | 365 Montauk Ave, New London, CT 06320-4700 | 2020-06-08 |
| 1952954117 | Veronica O Lee | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-07-17 |
| 1265084487 | Lydia Derienzo | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-07-09 |
| 1184283699 | Theresa Joan Crino | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-06-08 |
| 1437718137 | Linda Anderson | Pharmacist | 365 Montauk Ave, New London, CT 06320-4769 | 2019-06-07 |
| 1265091813 | Stephen Richard Cofone | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-06-07 |
| 1841859683 | Thomas David Page | Pharmacist | 365 Montauk Ave, New London, CT 06320-4769 | 2019-06-06 |
| 1942869706 | William Edward Sergiy IIi | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-06-06 |
| 1578122263 | Mary Stevens | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824891 | Shilpi Jain | Physical Therapist | 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 | 2020-06-05 |
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 1043668320 | Cultivate & Grow Inc. | Counselor | 302 State St Suite 307, New London, CT 06320 | 2016-05-27 |
| 1295137263 | Jacqueline Durnell | Registered Nurse | 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 | 2014-09-22 |
| 1922427541 | Corina Vendetto | Registered Nurse | 245 Shaw St., New London, CT 06320 | 2014-04-10 |
| 1912329962 | Janelle Posey-green | Social Worker | 302 State St., Suite 201, New London, CT 06320 | 2014-01-10 |
| 1750622692 | Cynthia Mitchell | Social Worker | 65b Michael Rd, New London, CT 06320 | 2013-03-01 |
| 1518254507 | Simon J Shapiro | Physical Medicine & Rehabilitation | 190 Howard Avenue, New London, CT 06320 | 2011-06-29 |
| 1184876708 | Jane P Genido-trujillo | Nurse Practitioner | 270 Mohegan Ave., Student Health Services, New London, CT 06320 | 2008-10-14 |
| 1932356284 | Gerard Joseph Ventura | Dentist | 21 Montauk Ave., Suite 102, New London, CT 06320 | 2008-08-19 |
| Find all providers in zip 06320 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033457197 | Laboratory Medicine Consultants, LLC | Pathology | 365 Montauk Ave, New London, CT 06320-4700 | 2013-01-24 |
| 1457678641 | Anica Antic | Pathology | 365 Montauk Ave, New London, CT 06320-4700 | 2010-04-27 |
| 1346403862 | Asim Ejaz | Pathology | 365 Montauk Ave, New London, CT 06320-4700 | 2008-07-03 |
| 1700940285 | Elise Lindsay Krejci | Pathology | 365 Montauk Ave, New London, CT 06320-4700 | 2006-12-20 |
| 1598787517 | Maria Victoria G Reyes | Pathology | 365 Montauk Ave, New London, CT 06320-4700 | 2006-07-25 |
| 1902821903 | Joseph A Cox | Pathology | 365 Montauk Ave, New London, CT 06320-4700 | 2006-07-12 |
| 1861424905 | Joseph C Benedict | Pathology | 365 Montauk Ave, New London, CT 06320-4700 | 2006-07-07 |
| 1184655706 | Pathology Consultants of New London, P.C. | Pathology | 365 Montauk Ave, New London, CT 06320-4700 | 2006-07-05 |
| 1356307334 | Kevin B Green | Pathology | 365 Montauk Ave, New London, CT 06320-4700 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730625856 | Karen Blomquist | Pathology | 43 Essex Ln, Woodbury, CT 06798-2631 | 2017-01-12 |
| 1508244070 | Pallavi Patil | Pathology | 20 York St # Ep2-612, New Haven, CT 06510-3220 | 2015-05-15 |
| 1477968261 | Chen Yang | Pathology | 310 Cedar St # Lh108, New Haven, CT 06510 | 2014-06-30 |
| 1023436029 | Physicians for Women's Health, LLC | Pathology | 22 Waterville Rd, Avon, CT 06001-2066 | 2014-04-07 |
| 1295077790 | Gordon Seth Cohen | Pathology | 3 Silo Hill Road, Madison, CT 06443 | 2013-03-22 |
| 1841557949 | Lewis Morton Portnoy | Pathology | 10 Linda Ln, Westport, CT 06880-3945 | 2012-04-13 |
| 1730475963 | Patricia Marie Raciti | Pathology | Greenwich Hospital, 5 Perryridge Road, Greenwich, CT 06830 | 2011-06-27 |
| 1538452594 | Lois Wurzel | Pathology | 77 Bayberry Hill Rd, Avon, CT 06001-2800 | 2011-05-24 |
| 1134377344 | Andrew Stuart Radow | Pathology | 16 Lawton Dr, Simsbury, CT 06070-2725 | 2008-08-29 |
| 1699937748 | Heather Mary Carney | Pathology | 2800 Main, Dept. of Pathology, Bridgeport, CT 06606-4201 | 2008-06-30 |
| Find all providers with the same taxonomy | ||||
| City | NEW LONDON |
| Zip Code | 06320 |
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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.