MR. PHILIP ANTHONY MICALIZZI JR. (NPI# 1609985373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609985373 |
| Entity Type | Individual |
| Full Name | MR. PHILIP ANTHONY MICALIZZI JR. |
| Credential | MD |
| Practice Address |
3180 Main Street Ste 302 Bridgeport CT 06606 |
| Practice Telephone | 2033726505 |
| Practice Fax Number | 2033725622 |
| Mailing Telephone | 2033726505 |
| Mailing Fax Number | 2033725622 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2010-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
026207 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
3180 MAIN STREET STE 302 |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538178850 | Mukesh H Shah | Pediatrics | 3180 Main Street, Room 104, Bridgeport, CT 06606 | 2006-08-05 |
| 1740378736 | Isabel D Goncalves | Obstetrics & Gynecology | 3180 Main Street, Ste 202, Bridgeport, CT 06606 | 2006-10-11 |
| 1427168707 | Milton Armm Md PC | Urology | 3180 Main Street, Room 305, Bridgeport, CT 06606 | 2006-08-30 |
| 1679683965 | Milton Frank Armm | Urology | 3180 Main Street, Room 305, Bridgeport, CT 06606 | 2006-08-30 |
| 1154438737 | Gregory T Servetas | Obstetrics & Gynecology | 3180 Main Street, Suite 202, Bridgeport, CT 06606 | 2006-08-23 |
| 1902913585 | Mamata J Bharucha | Obstetrics & Gynecology | 3180 Main Street, Suite 202, Bridgeport, CT 06606 | 2006-08-23 |
| 1447367032 | Leah A Darak | Obstetrics & Gynecology | 3180 Main Street, Suite 202, Bridgeport, CT 06606 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043323199 | Adnan Alghadban | Psychiatry & Neurology | 527 Medical Park Drive, Ste. 204, Associated Specialists, Inc., Bridgeport, WV 26330 | 2006-08-15 |
| 1346730504 | Khaldoun Mohamad Mozahem | Psychiatry & Neurology | 527 Medical Park Drive, Suite 204, Bridgeport, WV 26330 | 2018-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790165173 | Editha Johnson | Psychiatry & Neurology | 85 Seymour St # 825, Hartford, CT 06106-5501 | 2015-06-01 |
| 1518369925 | Maria Eugenia Garcia-ayala | Psychiatry & Neurology | 65 Memorial Rd Ste 508, West Hartford, CT 06107 | 2014-09-17 |
| 1366850521 | Mendelsohn Medical LLC | Psychiatry & Neurology | 18 Pinewood Shrs, Sherman, CT 06784-2505 | 2014-07-31 |
| 1356758387 | Idaira Aguilar Tejedor | Psychiatry & Neurology | 99 Hawley Ln Ste 1120, Stratford, CT 06614-1208 | 2014-07-22 |
| 1871908871 | Veeresh Kumar Nanjangud Shivamurthy | Psychiatry & Neurology | 1000 Asylum Ave Ste 4304, Hartford, CT 06105-1704 | 2014-06-27 |
| 1831503101 | Sarah Meira Benchaya | Psychiatry & Neurology | 80 Seymour Street #jb 604, Hartford, CT 06102 | 2014-06-16 |
| 1285048538 | Lucas Meira Benchaya | Psychiatry & Neurology | 80 Seymour St # Jb604, Hartford, CT 06102-8000 | 2014-06-15 |
| 1255742326 | Stephanie Felicia Alessi-larosa | Psychiatry & Neurology | 80 Seymour St. Jb 604, University of Connecticut/hartford Hospital, Hartford, CT 06102 | 2014-05-12 |
| 1811316250 | Leon Meytin | Psychiatry & Neurology | 280 S Main St Ste 102, Cheshire, CT 06410-3112 | 2014-04-14 |
| 1659701225 | Arthur Taub | Psychiatry & Neurology | 30 Conrad Dr, New Haven, CT 06515-2408 | 2013-11-19 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
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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.