JACQUELYN SHIRLEY BUDLOWSKI (NPI# 1780120949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780120949 |
| Entity Type | Individual |
| Full Name | JACQUELYN SHIRLEY BUDLOWSKI |
| Credential | PA-C, RD, CDN |
| Practice Address |
131 Kent Rd New Milford CT 06776-3485 |
| Mailing Address |
38 Shelview Dr Shelton CT 06484-4232 |
| Practice Telephone | 8603558000 |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 1486 | CT | Dietary & Nutritional Service Providers |
| N | 363A00000X | Physician Assistant | 4854 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
4854 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 133 Scovill St, Suite 304, Waterbury, CT 067061127 | 2037093791 | |
| 38 Shelview Dr, Shelton, CT 064844232 | 2035568407 |
| Street Address |
131 KENT RD |
| City | NEW MILFORD |
| State | CT |
| Zip Code | 06776-3485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003808767 | Edmund Anthony Ganal | Orthopaedic Surgery | 131 Kent Rd, New Milford, CT 06776-3485 | 2005-08-18 |
| 1588141212 | Timothy Michael Lampron | Specialist/Technologist | 131 Kent Rd, New Milford, CT 06776-3485 | 2018-07-25 |
| 1730632365 | Gregorio Fata | Physical Therapist | 131 Kent Rd, New Milford, CT 06776-3485 | 2016-08-01 |
| 1245690106 | Scott Hinman | Physician Assistant | 131 Kent Rd, New Milford, CT 06776 | 2016-03-04 |
| 1326424490 | Danielle Marie Bresson | Physical Therapist | 131 Kent Rd, New Milford, CT 06776-3485 | 2015-07-30 |
| 1235519026 | Northeast Radiology of Connecticut | Radiology | 131 Kent Rd, Building A, Suite 102, New Milford, CT 06776-3485 | 2015-06-05 |
| 1336542968 | Kara Anne Leake | Occupational Therapist | 131 Kent Rd, New Milford, CT 06776-3485 | 2014-09-26 |
| 1699104133 | Ryan Martin Bohdan | Physical Therapist | 131 Kent Rd, New Milford, CT 06776-3485 | 2013-11-05 |
| 1497184246 | Select Physical Therapy | Clinic/Center | 131 Kent Rd, New Milford, CT 06776-3485 | 2013-11-02 |
| 1073940524 | Erica Michelle Smith | Occupational Therapist | 131 Kent Rd, New Milford, CT 06776-3485 | 2013-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639680879 | Foot & Ankle Specialists of Ct PC | Podiatrist | 7 Pickett District Road, New Milford, CT 06776 | 2017-10-16 |
| 1477715035 | Abra Grize Mabasa | Family Medicine | 169 Danberry Rd., New Milford, CT 06776 | 2008-06-25 |
| 1134393259 | Brian A Fusillo | Dentist | One Aspetuck Ave, New Milford, CT 06776 | 2008-04-18 |
| 1972791499 | New Milford Chiropractic | Chiropractor | 5 Old Town Park Road, South End Plaza Unit 70, New Milford, CT 06776 | 2007-10-10 |
| 1366637084 | Mary Mackessy | Emergency Medicine | 21 Elm Street, New Milford, CT 06776 | 2007-09-06 |
| 1659407021 | Margaret Martha Babington | Specialist/Technologist | 101 Aspetuck Ave, Canterbury School, New Milford, CT 06776 | 2007-02-27 |
| 1053448456 | Lisa Gay Witham | Specialist/Technologist | 101 Aspetuck Ave., Canterbury School, New Milford, NH 06776 | 2007-02-27 |
| 1710049754 | Linda Gail Smith | Social Worker | New Milford Hospital Behavioral Health Services, 18 Elm St, New Milford, CT 06776 | 2006-12-15 |
| 1881777597 | Candlewood New Milford LLC | Skilled Nursing Facility | 30 Park Lane East, New Milford, CT 06776 | 2006-10-24 |
| 1417030651 | Interface Center Inc | Counselor | 46 Danbury Rd, Suite 6, New Milford, CT 06776 | 2006-10-23 |
| Find all providers in zip 06776 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798362 | Brandon H Kusako | Physician Assistant | 34 Maple St Dept Of, Norwalk, CT 06850-3815 | 2020-10-26 |
| 1073137097 | Page Renee Burns | Physician Assistant | 40 Bertrose Ave, Milford, CT 06460-5906 | 2020-06-05 |
| 1043848575 | Caitlin Ann Kimberly | Physician Assistant | 40 Avalon Dr Unit 6331, Milford, CT 06460-8956 | 2020-03-30 |
| 1699307199 | Lindy Carelli | Physician Assistant | 330 Washington St Ste 410, Norwich, CT 06360-2700 | 2020-02-12 |
| 1174166722 | Jacqueline Clarizio | Physician Assistant | 5520 Park Ave Ste 300, Trumbull, CT 06611-3465 | 2019-10-25 |
| 1699260109 | Kristen Jean Mosher | Physician Assistant | 31 Cloverdale Ave, Shelton, CT 06484-2538 | 2018-06-27 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1962920561 | Eugenie Cho | Physician Assistant | 34 Maple St., Norwalk, CT 06856 | 2017-09-03 |
| 1134536311 | Allyson E Kubasek | Physician Assistant | 32 Seymour Street, Hartford Hospital Orthopedics Dept, Hartford, CT 06102-5037 | 2014-07-19 |
| 1477964344 | Samuel Silva | Physician Assistant | 226 White St., Danbury, CT 06810 | 2014-05-14 |
| Find all providers with the same taxonomy | ||||
| City | NEW MILFORD |
| Zip Code | 06776 |
Please comment or provide details below to improve the information on JACQUELYN SHIRLEY BUDLOWSKI.
| 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.