MS. HEATHER MICHELLE RYNKOWSKI


Address: 365 Montauk Ave, Office # 3.525, New London, CT 06357
Phone: 8604420711

MS. HEATHER MICHELLE RYNKOWSKI (NPI# 1477980480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477980480
Entity Type Individual
Full Name MS. HEATHER MICHELLE RYNKOWSKI
Other Name HEATHER MICHELLE REZNIK
Credential PA-C
Practice Address 365 Montauk Ave
Office # 3.525
New London
CT 06357
Practice Telephone 8604420711
Practice Fax Number 8602714988
Mailing Telephone 8604420711
Mailing Fax Number 8602714988
Enumeration Date 2013-10-04
Last Update Date 2018-11-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 23.003003 CT Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
00729 RI Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
3003 CT Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
23.003003 CT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 365 MONTAUK AVE
OFFICE # 3.525
City NEW LONDON
State CT
Zip Code 06357

Providers in the same location

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
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093094401 Pamela Dhillon Nurse Practitioner 215 West Main St, Niantic, CT 06357 2011-08-16
1841454485 Richard Frederick Jones IIi Obstetrics & Gynecology 224 Old Balck Point Rd, Niantic, CT 06357 2008-07-14
1437224771 Margaret C Barili Registered Nurse 369 Main Street, Niantic, CT 06357 2006-11-21
1720163942 Carole C Olson Psychologist 4 N. Pine Street, Ninantic, CT 06357 2006-10-26
1427151513 Melvin Harold Engel Family Medicine 50 Green Cliff Drive, Niantic, CT 06357 2006-09-06
1457304420 Michele Nadine Litwin Nurse Practitioner 30 W Main Street, Niantic, CT 06357 2006-05-18
1487133906 Ryne Mcmullen Physical Therapist 11 Freedom Way Unit B2, Niantic, CT 06357 2018-08-07
1558720854 Bodhi Naturopathic LLC Naturopath 17 Hope Street, Nianic, CT 06357 2016-02-15
1245662592 Erica L Lussier Nurse Practitioner 248 Flanders Rd, Niantic, CT 06357 2013-08-08
1699025965 Sara B Sherwin Nurse Practitioner 248 Flanders Road, Niantic, CT 06357 2012-09-14
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558319194 Arthur S Welch Physician Assistant 50 Fair Harbour Pl, Suite 2-a, New London, CT 06320-4731 2006-05-05
1629074505 Jan Idzikowski Physician Assistant 273 County Rd, New London, NH 03257-5736 2005-06-24
1508429275 Marissa Ann Sylvester Physician Assistant 365 Montauk Ave, New London, CT 06320-4700 2019-04-18
1295213320 Kelsey Bestall Physician Assistant 365 Montauk Ave, New London, CT 06320-4700 2018-07-31
1669889481 Heather Nickerson Physician Assistant 365 Montauk Ave, New London, CT 06320-4700 2014-07-14
1669809927 L&m Medical Group Physician Assistant 365 Montauk Ave, New London, CT 06320-4700 2013-10-02
1699910489 Taryn Fabian Physician Assistant 365 Montauk Ave, New London, CT 06320-4700 2008-12-08
1669684205 Margo R. Coffey Physician Assistant 365 Montauk Ave, New London, CT 06320-4700 2007-05-04
1326182650 Juan C Delprado Physician Assistant 365 Montauk Ave, New London, CT 06320-4700 2007-02-19
1275696304 Marcelle Loranger Cashman Physician Assistant 365 Montauk Ave, New London, CT 06320-4700 2006-12-19
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Competitor

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City NEW LONDON
Zip Code 06357

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Dataset Information

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.

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