ANDREW J DECUSATI (NPI# 1952821431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952821431 |
| Entity Type | Individual |
| Full Name | ANDREW J DECUSATI |
| Credential | PA-C |
| Practice Address |
100 Retreat Ave Ste 705 Hartford CT 06106-2553 |
| Mailing Address |
100 Retreat Ave Ste 705 Hartford CT 06106-2553 |
| Practice Telephone | 8602780070 |
| Practice Fax Number | 8605226081 |
| Mailing Telephone | 8602820833 |
| Mailing Fax Number | 8602820170 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2018-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
00000 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
3893 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 RETREAT AVE STE 705 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-2553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
| 1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
| 1497314140 | Eduardo Mantovani Cardoso | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-06-06 |
| 1114582178 | Dimitrios Drekolias | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-05-06 |
| 1316501687 | Rafae Shaikh | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-04-23 |
| 1437643715 | Lucas Bensa | Social Worker | 421 Washington St., Apt C1, Hartford, CT 06106 | 2018-06-19 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1619460581 | Bryan F Stringer | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 | 2018-06-14 |
| 1083103972 | Margret Sigurdardottir Blondal | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Ste 4h, Hartford, CT 06106 | 2018-05-07 |
| 1265920995 | Rudra Ramanathan | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave Brown Stone, Hartford, CT 06106 | 2018-04-27 |
| Find all providers in zip 06106 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1134536311 | Allyson E Kubasek | Physician Assistant | 32 Seymour Street, Hartford Hospital Orthopedics Dept, Hartford, CT 06102-5037 | 2014-07-19 |
| 1063037091 | Andrew Jon Mccarthy | Physician Assistant | 80 Seymour St, Hartford, CT 06106-3315 | 2020-06-16 |
| 1417570722 | Leah Pawelczyk | Physician Assistant | 80 Seymour St, Hartford, CT 06102-8000 | 2020-05-20 |
| 1164044947 | Marena Josephine Harrison | Physician Assistant | 114 Woodland St, Hartford, CT 06105-1208 | 2020-05-14 |
| 1528688132 | Tess B Repaci | Physician Assistant | 80 Seymour St, Hartford, CT 06106-3300 | 2020-04-23 |
| 1588283584 | Dana Wells Mcpherson | Physician Assistant | 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-8000 | 2020-04-10 |
| 1407486277 | Ashley Weisse | Physician Assistant | 80 Seymour St, Hartford, CT 06102-8000 | 2020-01-21 |
| 1053954222 | Nicole Ann Dietzel | Physician Assistant | 282 Washington St, Hartford, CT 06106-3322 | 2019-10-21 |
| 1952951121 | Lindsay Nicole Palma | Physician Assistant | 80 Seymour St, Hartford, CT 06102-8000 | 2019-09-18 |
| Find all providers in HARTFORD | ||||
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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.