KATHY E DELUCIA (NPI# 1912920695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912920695 |
| Entity Type | Individual |
| Full Name | KATHY E DELUCIA |
| Credential | PA |
| Practice Address |
305 Black Rock Tpke Fairfield CT 06825-5508 |
| Mailing Address |
305 Black Rock Tpke Osg Fairfield CT 06825-5508 |
| Practice Telephone | 2033372600 |
| Practice Fax Number | 2033372666 |
| Mailing Telephone | 2033372600 |
| Mailing Fax Number | 2033372666 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2017-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 000130 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | OXFORD HEALTH PLANS | P3511340 | 01 |
| CT | ANTHEM BC/BS | 290000130CT01 | 01 |
| PIONEER | TIN | 01 | |
| MULTI PLAN | TIN | 01 | |
| BERLKEY ADMINISTRATORS | TIN | 01 | |
| CT | CONNECTICARE | 9301 | 01 |
| CT | HEALTH NET | 2V6005 | 01 |
| CORVEL | TIN | 01 | |
| INTEGRATED HEALTH PLAN | TIN | 01 |
| Street Address |
305 BLACK ROCK TPKE |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825-5508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114923893 | Orthopaedic Specialty Group, P.C. | Radiology | 305 Black Rock Tpke, Fairfield, CT 06825 | 2005-06-27 |
| 1609331008 | Corey Matthew Hoffner | Physical Therapist | 305 Black Rock Tpke, Fairfield, CT 06825-5508 | 2019-02-10 |
| 1134696917 | Alex M Lengyel | Occupational Therapist | 305 Black Rock Tpke, Fairfield, CT 06825-5508 | 2018-10-30 |
| 1851810857 | Andrew Soltish | Physical Therapist | 305 Black Rock Tpke, Fairfield, CT 06825-5508 | 2017-09-12 |
| 1245789544 | Anthony Pastore | Physician Assistant | 305 Black Rock Tpke, Fairfield, CT 06825-5508 | 2016-09-27 |
| 1164867347 | Romulo V Vasquez | Family Medicine | 305 Black Rock Tpke, Fairfield, CT 06825-5508 | 2013-05-01 |
| 1255775623 | Todd Alexander Morrison | Orthopaedic Surgery | 305 Black Rock Tpke, Fairfield, CT 06825-5508 | 2013-04-29 |
| 1588917066 | Tanya Dzubaty | Physician Assistant | 305 Black Rock Tpke, Fairfield, CT 06825-5508 | 2012-10-20 |
| 1831477330 | Rizwan Ahmad | Family Medicine | 305 Black Rock Tpke, Fairfield, CT 06825-5508 | 2011-08-01 |
| 1922331784 | Cullen K Griffith | Orthopaedic Surgery | 305 Black Rock Tpke, Fairfield, CT 06825-5508 | 2009-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376535 | Andrew Kalach | Physical Therapist | 2373 Black Rock Turnpike, Fairfield, CT 06825 | 2020-08-13 |
| 1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
| 1730720145 | L Burke LLC | Marriage & Family Therapist | 2501 Old Post Rd, 2nd Floor, Fairfield, CT 06825 | 2019-10-07 |
| 1760045066 | Stephen Miguel Pou | Dentist | 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 | 2019-04-22 |
| 1548716111 | Connecticut Orthopaedic Specialists, PC | Specialist | 425 Boston Post Road, Fairfield, CT 06825 | 2016-09-01 |
| 1497131239 | Alice Z Kelly | Social Worker | 113 Sky Top Drive, Fairfield, CT 06825 | 2015-08-04 |
| 1902218647 | John Feiler | Occupational Therapist | 175 Jefferson St., Fairfield, CT 06825 | 2014-05-29 |
| 1710242870 | Bridge Partnership, LLC | Community/Behavioral Health | 2505 Black Rock Turnpike, 2nd Floor, Fairfield, CT 06825 | 2012-07-05 |
| 1154614543 | Center for The Healing Arts, PC | Internal Medicine | 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 | 2011-05-18 |
| 1538468012 | Barbara Cohen | Occupational Therapist | 175 Jefferson Street, Fairfield, CT 06825 | 2011-03-23 |
| Find all providers in zip 06825 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780293548 | Christina Elizabeth Gentile | Physician Assistant | 313 Suburban Ave, Fairfield, CT 06825-1851 | 2020-07-28 |
| 1962963397 | Olivia Leigh Brandt | Physician Assistant | 4 Skyline Trl, Fairfield, PA 17320-8560 | 2019-03-28 |
| 1205299559 | Bita Joobbani | Physician Assistant | 1860 Pennsylvania Ave Ste 230, Fairfield, CA 94533-3550 | 2016-04-04 |
| 1699178210 | Bradley Joseph Barnes | Physician Assistant | 3050 Mack Rd Ste 200, Fairfield, OH 45014-5375 | 2014-09-28 |
| 1841500675 | Nicolle E White | Physician Assistant | 1918 Black Rock Tpke, Fairfield, CT 06825-3543 | 2010-10-14 |
| 1134303894 | Sarah Brooke Sullivan | Physician Assistant | 113 Old Stratfield Rd, Fairfield, CT 06825-4432 | 2007-12-18 |
| 1679752083 | Sandy Pais Narciso-owen | Physician Assistant | Sacred Heart University, Physician Assistant Studies, 5151 Park Avenue, Fairfield, CT 06825 | 2007-11-01 |
| 1316142599 | Michelle Anne Cifelli | Physician Assistant | 19 Addison Dr, Fairfield, NJ 07004-1534 | 2007-06-18 |
| 1285655977 | Laura Lynn Mora | Physician Assistant | 5129 Dartrmoor Circle, Fairfield, CA 94534 | 2006-07-21 |
| 1699775551 | Julie A Lanter | Physician Assistant | 2818 Mack Rd, Fairfield, OH 45014-5130 | 2005-07-21 |
| Find all providers in FAIRFIELD | ||||
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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.