CONNECTICUT NEUROSURGERY, PC (NPI# 1598986796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598986796 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT NEUROSURGERY, PC |
| Practice Address |
1 Bradley Rd Suite 501 Woodbridge CT 06525-2285 |
| Mailing Address |
330 Orchard St Suite 316 New Haven CT 06511-4417 |
| Practice Telephone | 2033892278 |
| Practice Fax Number | 2033892643 |
| Mailing Telephone | 2037813400 |
| Mailing Fax Number | 2037813414 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID GLASSMAN (PHYSICIAN) |
| Authorized Official Telephone | 2033892278 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 34941 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | NPI | 1356357933 | 01 |
| CT | NPI | 1952317521 | 01 |
| CT | NPI | 1417962093 | 01 |
| CT | NPI | 1477568053 | 01 |
| CT | NPI | 1548275092 | 01 |
| CT | NPI | 1649286220 | 01 |
| CT | NPI | 1831127265 | 01 |
| CT | NPI | 1659387256 | 01 |
| CT | NPI | 1295741825 | 01 |
| CT | NPI | 1710993381 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396957825 | Connecticut Neurosurgery, PC | Durable Medical Equipment & Medical Supplies | 520 Old Saybrook Road, Suite 100, Middletown, CT 06457 | 2007-05-04 |
| 1114131349 | Connecticut Neurosurgery, PC | Durable Medical Equipment & Medical Supplies | 8 Research Pkwy, Wallingford, CT 06492-1929 | 2007-05-09 |
| 1821200353 | Connecticut Neurosurgery, PC | Durable Medical Equipment & Medical Supplies | 20 Commerce Park, Milford, CT 06460 | 2007-05-04 |
| Street Address |
1 BRADLEY RD SUITE 501 |
| City | WOODBRIDGE |
| State | CT |
| Zip Code | 06525-2285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366441826 | William N Schreiber | Internal Medicine | 1 Bradley Rd, Suite 709, Woodbridge, CT 06525-2285 | 2005-07-18 |
| 1457803934 | Stacy Mantel | Counselor | 1 Bradley Rd, Suite 206, Woodbridge, CT 06525-2285 | 2016-10-31 |
| 1811354053 | Shannon Webb | Physical Medicine & Rehabilitation | 1 Bradley Rd, Ste 801, Woodbridge, CT 06525-2285 | 2016-01-19 |
| 1821462375 | Lorraine Byam | Counselor | 1 Bradley Rd, Suite 404, Woodbridge, CT 06525-2285 | 2015-11-20 |
| 1982077947 | Nicole Derobertis, Lcsw, LLC | Social Worker | 1 Bradley Rd, Suite 707, Woodbridge, CT 06525-2285 | 2015-11-12 |
| 1811370125 | Monica A. Starr, Aprn, LLC | Nurse Practitioner | 1 Bradley Rd, Suite 206, Woodbridge, CT 06525-2285 | 2015-07-06 |
| 1568843183 | Claudia-santi Ferrante Fernandes | Counselor | 1 Bradley Rd, Suite 905, Woodbridge, CT 06525-2285 | 2015-06-10 |
| 1174902084 | Connecticut Psychiatric & Wellness Center | Community/Behavioral Health | 1 Bradley Rd, 404, Woodbridge, CT 06525-2285 | 2015-05-26 |
| 1225443708 | Ashley Donovan | Social Worker | 1 Bradley Rd, 905, Woodbridge, CT 06525-2285 | 2014-06-24 |
| 1205176856 | Connecticut Orthopaedic Specialists, PC | Neurological Surgery | 1 Bradley Rd, Unit 501-502, Woodbridge, CT 06525-2285 | 2013-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649838822 | Arcadian Counseling, LLC | Counselor | 176 Amity Rd # 283, Woodbridge, CT 06525 | 2019-06-03 |
| 1538604566 | Susan G Israel | Psychiatry & Neurology | 18 Carriage Hill Road, Woodbridge, CT 06525 | 2016-12-29 |
| 1417409947 | Personal Care Training LLC | Home Health | 30 Hazel Terace #7, Woodbridge, CT 06525 | 2016-11-01 |
| 1538506324 | James A Killian | Counselor | 1 Bradley Rd Ste 106, Woodbridge, CT 06525 | 2013-06-03 |
| 1154666063 | Julie M Charron | Physical Therapy Assistant | 5 Spring Valley Rd, Woodbridge, CT 06525 | 2012-12-04 |
| 1780931022 | Edward David Martino | Dentist | 1674 Litchfield Turnpike, Woodbridge, CT 06525 | 2012-08-06 |
| 1972864627 | Sandra Boltax-stern, Md, PC | Psychiatry & Neurology | 78 Ansonia Road, Woodbridge, CT 06525 | 2012-05-30 |
| 1629383906 | Innovative Healthcare | Exclusive Provider Organization | 555 Amity Rd., Woodbridge, CT 06525 | 2010-08-11 |
| 1437300225 | Carl B. Lundborg | Orthopaedic Surgery | 4 Fox Hill Rd, Woodbridge, CT 06525 | 2008-10-10 |
| 1033366067 | Richard Eubanks Fearon | Internal Medicine | 20 Brook Rd, Woodbridge, CT 06525 | 2008-08-21 |
| Find all providers in zip 06525 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811463870 | Malachi Medical Supplies | Durable Medical Equipment & Medical Supplies | 13000 Harbor Center Dr # 312k, Woodbridge, VA 22192-2846 | 2018-10-17 |
| 1871080499 | Lincoln Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 14934 Cummings Ct, Woodbridge, VA 22193-5718 | 2018-04-19 |
| 1952898454 | Aa Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 15550 Wheatfield Rd, Woodbridge, VA 22193-5707 | 2018-04-19 |
| 1518486828 | Pwc Home Medical Supply | Durable Medical Equipment & Medical Supplies | 12820 Marblestone Dr, Woodbridge, VA 22192-5387 | 2017-09-18 |
| 1710426861 | Arm Medical Equipment | Durable Medical Equipment & Medical Supplies | 13000 Harbor Center Dr # 312a, Woodbridge, VA 22192 | 2017-02-21 |
| 1548709264 | Allied Medical Supply | Durable Medical Equipment & Medical Supplies | 5565 Riverton Ct, Woodbridge, VA 22193-3706 | 2017-02-14 |
| 1720536139 | Orthosupply, LLC | Durable Medical Equipment & Medical Supplies | 10 Main Street Unit 177, Woodbridge, NJ 07095 | 2016-09-14 |
| 1427504927 | Mount Zion Home Health Services LLC | Durable Medical Equipment & Medical Supplies | 4128 Hampstead Ln, Woodbridge, VA 22192-5140 | 2016-08-25 |
| 1902260326 | Leader Six, Inc | Durable Medical Equipment & Medical Supplies | 12691 Catawba Dr, Woodbridge, VA 22192-6415 | 2016-04-12 |
| 1902148554 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 14095 Jefferson Davis Hwy, Woodbridge, VA 22191-0000 | 2013-03-21 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 06525 |
Please comment or provide details below to improve the information on CONNECTICUT NEUROSURGERY, PC.
| 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.