FAUSTO MINAYA CORREA (NPI# 1730557505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730557505 |
| Entity Type | Individual |
| Full Name | FAUSTO MINAYA CORREA |
| Practice Address |
540 Bishop Dr Orange CT 06477-2522 |
| Practice Telephone | 2035539696 |
| Practice Fax Number | 2032984185 |
| Mailing Fax Number | 2032984185 |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2016-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
144151 | NY | Technologists, Technicians & Other Technical Service Providers |
| N | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
540 BISHOP DR |
| City | ORANGE |
| State | CT |
| Zip Code | 06477-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871045492 | Icon Imaging LLC | Clinic/Center | 540 Bishop Dr, Orange, CT 06477-2522 | 2016-10-31 |
| 1942674890 | Family Diagnostics LLC | Clinic/Center | 540 Bishop Dr, Orange, CT 06477-2522 | 2015-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881207207 | Kevin Cheung | Registered Nurse | 499 West Campus Drive, Orange, CT 06477 | 2020-08-25 |
| 1629539051 | Leah Kragh | Occupational Therapist | 308 Racebrook Road, Unit A, Orange, CT 06477 | 2019-03-28 |
| 1871076315 | Mario Paredes | Physical Therapist | 240 Indian River Rd Ste B7b8, Orange, CT 06477 | 2018-09-11 |
| 1790201499 | Amy Elise Roth | Speech-Language Pathologist | 308 Racebrook Road, Orange, CT 06477 | 2017-08-15 |
| 1720435092 | Eric Han | Obstetrics & Gynecology | 100 West Campus Drive, Orange, CT 06477 | 2016-05-17 |
| 1467838730 | Dr. Margaret Azzarella LLC | Chiropractor | 472 Boston Post Road, Orange, CT 06477 | 2015-08-10 |
| 1790114866 | The Eye Care Group | Eyewear Supplier (Equipment, not the service) | 250 Indian River Road, Orange, CT 06477 | 2013-11-08 |
| 1609111814 | Michael L Crane | Counselor | 426 Taulman Rd, Orange, CT 06477 | 2012-11-29 |
| 1316183726 | Sarah E Halloran | Physician Assistant | 240 Indian River Rd Ste B1, Orange, CT 06477 | 2009-01-07 |
| 1558482075 | Jasdeep Sidana | Internal Medicine | 521 Boston Post Road, Orange, CT 06477 | 2007-04-02 |
| Find all providers in zip 06477 | ||||
| Taxonomy Code | 246XS1301X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215489307 | Kelsey Ann Clark | Spec/Tech, Cardiovascular | 13 Indian Ridge Rd, New Milford, CT 06776-4614 | 2016-10-25 |
| 1992255285 | Andy Morrison | Spec/Tech, Cardiovascular | 221 Trumbull St, Apt 3203, Hartford, CT 06103-1500 | 2016-10-11 |
| 1912175639 | Prohealth Physicians PC | Spec/Tech, Cardiovascular | 4 Farm Springs Rd, Farmington, CT 06032-2573 | 2008-02-15 |
Please comment or provide details below to improve the information on FAUSTO MINAYA CORREA.
| 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.