JORGE ALBA (NPI# 1255314761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255314761 |
| Entity Type | Individual |
| Full Name | JORGE ALBA |
| Credential | DO |
| Practice Address |
71 Haynes St Manchester CT 06040-4131 |
| Practice Telephone | 8606461222 |
| Practice Fax Number | 8606476439 |
| Mailing Telephone | 8606461222 |
| Mailing Fax Number | 8606476439 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2008-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
043658 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001436685 | 05 |
| Street Address |
71 HAYNES ST |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-4131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568457893 | Monica Srodon | Specialist | 71 Haynes St, Manchester, CT 06040-4131 | 2005-09-13 |
| 1104443274 | Cynthia Lynn Kaczmarczyk | Occupational Therapist | 71 Haynes St, Manchester, CT 06040-4131 | 2020-07-06 |
| 1225653199 | Nicholas Orion Volaitis Cunningham | Student in an Organized Health Care Education/Training Program | 71 Haynes St, Manchester, CT 06040-4188 | 2020-06-16 |
| 1992327696 | Gavin Michael Hannon | Student in an Organized Health Care Education/Training Program | 71 Haynes St, Manchester, CT 06040-4131 | 2020-05-15 |
| 1548882830 | Izabela Anna Tomkiewicz | Student in an Organized Health Care Education/Training Program | 71 Haynes St, Manchester, CT 06040-4188 | 2020-05-11 |
| 1801418041 | Thomas Kim | Family Medicine | 71 Haynes St, Manchester, CT 06040-4131 | 2020-05-11 |
| 1508487075 | Michael Chiok | Student in an Organized Health Care Education/Training Program | 71 Haynes St, Manchester, CT 06040-4131 | 2020-05-06 |
| 1124657325 | Jennifer Neri | Physical Therapist | 71 Haynes St, Manchester, CT 06040-4131 | 2020-04-08 |
| 1366077646 | Kylie M Picard | Social Worker | 71 Haynes St, Manchester, CT 06040-4188 | 2020-03-07 |
| 1447884978 | Rachel Ellen Silvester | Physician Assistant | 71 Haynes St, Manchester, CT 06040-4188 | 2020-02-24 |
| Find all providers in the same location | ||||
| 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 | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194785402 | Ernest F. Beale | Pediatrics | Neonatology Services - Elliot Hospital, One Elliot Way, Manchester, NH 03103 | 2006-03-23 |
| 1679919658 | Jessica G Clem | Pediatrics | 100 Mcgregor St, Manchester, NH 03102-3730 | 2013-05-16 |
| 1528389780 | Elliot Professional Services | Pediatrics | 275 Mammoth Rd, Suite 1c, Manchester, NH 03109-4133 | 2010-06-22 |
| 1548495468 | Matthew William Ryzewski | Pediatrics | 1 Elliot Way, Nicu, Manchester, NH 03103-3502 | 2009-05-20 |
| 1720271224 | Amy D Mcbee | Pediatrics | 71 Haynes St, Neonatal Icu, Manchester, CT 06040-4131 | 2007-08-20 |
| 1770690372 | Malgorzata Bulanowski | Pediatrics | 1 Elliot Way, Neonatology Department, Manchester, NH 03103-3502 | 2006-08-23 |
| 1851353049 | Deborah A. Franzek | Pediatrics | 1 Elliot Way, Neonatology Services - Elliot Hospital, Manchester, NH 03103-3502 | 2006-04-04 |
| 1013976810 | Elliot Professional Services | Pediatrics | 1 Elliot Way, Neonatology Services, Manchester, NH 03103-3502 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215373444 | Sheryl Anna-kay Purrier | Pediatrics | 430 Congress Ave, New Haven, CT 06519-1313 | 2013-05-15 |
| 1841592375 | John Mcnamara | Pediatrics | 31 Appletree Ln, Norwalk, CT 06850-1031 | 2010-12-05 |
| 1528228350 | Stuart J Danoff | Pediatrics | 1088 Rock Rimmon Rd, Stamford, CT 06903-1219 | 2008-06-16 |
| 1366402372 | Complete Newborn Care, PC | Pediatrics | 117 Charter Oak Rd, Southbury, CT 06488-1218 | 2006-03-24 |
| 1114900339 | Annmarie Golioto | Pediatrics | 100 Grand Street Dept of Pediatrics, Hospital of Central Connecticut-new Britain, New Britain, CT 06050 | 2005-11-22 |
| 1881696367 | Marilyn R Sanders | Pediatrics | 282 Washington, Hartford, CT 06106 | 2005-08-15 |
| 1952644650 | Veronica Fabrizio | Pediatrics | 333 Cedar St, New Haven, CT 06510-3206 | 2013-04-01 |
| 1780946715 | Jacob M Mcpadden | Pediatrics | 1 Park St, New Haven, CT 06504-8901 | 2012-06-14 |
| 1124327374 | Alaina Kristene Pyle | Pediatrics | 20 York St, New Haven, CT 06510 | 2011-03-26 |
| 1689972085 | John Francis Ciannella | Pediatrics | One Hospital Plaza, Stamford, CT 06904 | 2011-03-09 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
Please comment or provide details below to improve the information on JORGE ALBA.
| 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.