CENTRAL CONNECTICUT RADIATION ONCOLOGY PC (NPI# 1841336849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841336849 |
| Entity Type | Organization |
| Organization Name | CENTRAL CONNECTICUT RADIATION ONCOLOGY PC |
| Practice Address |
100 Grand St Hospital of Central Ct New Britain CT 06052-2016 |
| Mailing Address |
760 Saybrook Rd Bldg A Middletown CT 06457-4785 |
| Practice Telephone | 8607040106 |
| Practice Fax Number | 8607040125 |
| Mailing Telephone | 8607040106 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2014-02-06 |
| Authorized Official Name | DR. NEAL B. GOLDBERG (OWNER PARTNER) |
| Authorized Official Telephone | 8602245520 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CCRO-4074712 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902962905 | Central Connecticut Radiation Oncology PC | Internal Medicine | 536 Saybrook Rd, Middlesex Hospital Cancer Center, Middletown, CT 06457 | 2006-12-28 |
| Street Address |
100 GRAND ST HOSPITAL OF CENTRAL CT |
| City | NEW BRITAIN |
| State | CT |
| Zip Code | 06052-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174526784 | Kathryn W Tierney | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2005-05-27 |
| 1528674629 | Alicja Jedrychowski | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2020-09-23 |
| 1366050411 | Casey Aivano | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2020-07-15 |
| 1689297418 | Amanda Catherine Ehresman | Physician Assistant | 100 Grand St, New Britain, CT 06052-2016 | 2020-05-27 |
| 1679194633 | Zachary Russo | Physician Assistant | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-30 |
| 1912526765 | Cristina Melinda Decrosta | Social Worker | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-13 |
| 1467071696 | Natali R Senocak | Student in an Organized Health Care Education/Training Program | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-08 |
| 1346879608 | Najwan Augustin | Student in an Organized Health Care Education/Training Program | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-07 |
| 1346879616 | Christopher J Dipollina | Student in an Organized Health Care Education/Training Program | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-07 |
| 1861021263 | Rosanne M Zandvliet | Student in an Organized Health Care Education/Training Program | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629604905 | Lynn Fazzino | Physical Therapist | Cora, 136 West Main St, New Britain, CT 06052 | 2020-03-18 |
| 1265927826 | Marie Susie Gustin | Psychologist | 365 Shuttle Meadow Ave, New Britain, CT 06052 | 2018-06-26 |
| 1942711718 | Ashley R Stevens | Nurse Practitioner | 22 Cedar St., New Britain, CT 06052 | 2017-10-19 |
| 1740710417 | Roxanne Guzze | Pharmacy Technician | 470 Hartford Road, New Britain, CT 06052 | 2017-06-15 |
| 1417483165 | Liberty Integrated Behavioral Health, LLC | Nurse Practitioner | 18 Hart St., New Britain, CT 06052 | 2017-05-02 |
| 1518233022 | Kristy Messier | Counselor | 73 Cedar St., The Hospital of Central Connecticut, New Britain, CT 06052 | 2012-03-29 |
| 1629374178 | Liberty Healthcare, LLC | Nurse Practitioner | 18 Hart St, New Britain, CT 06052 | 2011-02-01 |
| 1528207800 | Colleen M Picone | Social Worker | 55 Winthrop Street, New Britain, CT 06052 | 2009-02-11 |
| 1902073166 | Joseph Paladino | Durable Medical Equipment & Medical Supplies | 39 Brooklawn St, New Britain, CT 06052 | 2008-05-15 |
| 1861667768 | Elizabeth Kartsen | Audiologist | 292 West Main Street, Grove Hill Medical Center, PC, New Britain, CT 06052 | 2008-04-23 |
| Find all providers in zip 06052 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528173911 | Neal Benjamin Goldberg | Radiology | 100 Grand Street, New Britain General Hospital, New Britain, CT 06250 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639565948 | David Gasalberti | Radiology | 243 Steele Rd Apt 314, West Hartford, CT 06117-1725 | 2015-04-13 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1407173115 | William J Aberizk Jr. | Radiology | 166 Ledgewood Rd, Apt 108, Groton, CT 06340-6614 | 2010-04-21 |
| 1326206855 | Ranjit S Bindra | Radiology | 20 York Street, Smilow Cancer Hospital, Yale New Haven, Lower Level, New Haven, CT 06510 | 2008-05-31 |
| 1760640643 | Douglas Michael Housman | Radiology | 25 Newell Road, Suite C11, Bristol, CT 06010-5100 | 2008-05-28 |
| 1306020474 | James Byunghoon Yu | Radiology | 20 York St, T-209, Yale - New Haven Hospital, New Haven, CT 06510 | 2007-12-24 |
| 1417150004 | Ann C Cea | Radiology | 244 Byram Shore Rd, Greenwich, CT 06830-6932 | 2007-06-09 |
| 1750400644 | Suzanne Buckley Evans | Radiology | 865 Montauk Ave, Cancer Center, New London, CT 06320 | 2007-03-29 |
| 1912084419 | Sean W. Dowling | Radiology | 34 Shelburne Rd, Radiation Oncology, Stamford, CT 06902-3628 | 2006-11-01 |
| 1427163815 | Allen B Silberstein | Radiology | 536 Saybrook Road, Middlesex Hospital Cancer Center, Middletown, CT 06457 | 2006-08-19 |
| Find all providers with the same taxonomy | ||||
| City | NEW BRITAIN |
| Zip Code | 06052 |
Please comment or provide details below to improve the information on CENTRAL CONNECTICUT RADIATION ONCOLOGY 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.