GREGORY J BOMBASSEI


Address: 40 Dale Rd, Suite 202, Avon, CT 06001
Phone: 8606790234

GREGORY J BOMBASSEI (NPI# 1962582718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962582718
Entity Type Individual
Full Name GREGORY J BOMBASSEI
Credential MD
Practice Address 40 Dale Rd
Suite 202
Avon
CT 06001
Mailing Address 40 Dale Rd
Suite 202
Avon
CT 06001-3692
Practice Telephone 8606790234
Practice Fax Number 8606060060
Enumeration Date 2006-10-16
Last Update Date 2011-05-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
032434 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT HEALTHNET 2V5062 01
CT CONNECTICARE 766507 01
CT OXFORD P2101979 01
CT ANTHEM BC/BS OF CT 010032434CT07 01

Office Location

Street Address 40 DALE RD
SUITE 202
City AVON
State CT
Zip Code 06001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093789745 Linda Preysner Internal Medicine 40 Dale Rd, Suite 202, Avon, CT 06001-3692 2006-02-16
1851807218 Komarow Dental PC Clinic/Center 40 Dale Rd, Avon, CT 06001-3692 2017-12-21
1811280332 Sarah Anacleto Counselor 40 Dale Rd, Avon, CT 06001-3692 2011-05-17
1093014748 Comprehensive Medical Group, LLC Nurse Practitioner 40 Dale Rd, Suite 103, Avon, CT 06001-3692 2011-03-21
1649573106 Stephanie Lynn Poole Speech-Language Pathologist 40 Dale Rd, Avon, CT 06001-3692 2010-12-06
1376867580 Nutmeg Medical Group, LLC Internal Medicine 40 Dale Rd, Suite 202, Avon, CT 06001-3692 2010-03-16
1609067503 Jefferson Radiology, PC Nuclear Medicine 40 Dale Rd, Avon, CT 06001-3692 2007-08-06
1508070343 Kristie L Riley Counselor 40 Dale Rd, Avon, CT 06001-3692 2007-05-10
1942352794 Lalarukh Mufti Family Medicine 40 Dale Rd, Suite 103, Avon, CT 06001-3692 2007-01-18
1063506723 Naomi J Neuwirth Social Worker 40 Dale Rd, Suite 201, Avon, CT 06001 2006-10-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285247338 Alledran Med LLC Durable Medical Equipment & Medical Supplies 47 Avonwood Road, Unit #218, Avon, CT 06001 2020-08-28
1265053391 001care Inc In Home Supportive Care 20 Tower Lane, Avon, CT 06001 2020-04-29
1649813783 Peoplesdental, P.C. Dentist 20 W Avon Rd Ste 104, Avon, CT 06001 2019-10-22
1740822063 I E Consulting, LLC Home Health 1-5 East Main Street, Avon, CT 06001 2019-10-09
1598324261 Prima Labs, LLC Orthopaedic Surgery Dr. Alexandra 58, Kezmarok, SLOVAKIA 06001 2019-06-06
1194220996 Theresa L. Hixson Social Worker 152 Simsbury Rd., Building 9, Avon, CT 06001 2018-03-26
1851809974 Kathleen Ann Subasic Occupational Therapist 19 Stockbridge Dr, Avon, CT 06001 2018-01-11
1801254297 Vanessa Brodie Psychologist 395 W Avon Rd Ste 1, Avon, CT 06001 2016-02-01
1346614468 Bryan Lilley Physical Therapist 34 Dale Rd., 202, Avon, CT 06001 2015-12-01
1073947446 Rahel K. Saroff Counseling Services LLC Counselor 7 Towpath Lane, Avon, CT 06001 2013-08-21
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104224757 Rossana Danese Internal Medicine 36321 Oakview Ln, Avon, OH 44011-2275 2014-12-15
1669669982 Dartmouth Endocrinology LLC Internal Medicine 40 Dale Road, Suite 202, Avon, CT 06001 2007-10-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376103762 Fairfield County Endocrine, LLC Internal Medicine 18 Sunnyside Ln, Westport, CT 06880-1710 2019-06-18
1013458447 James Magner Internal Medicine 1022 Field Dr, Woodbridge, CT 06525-2638 2017-03-18
1952754400 Paul Ryan Charles Sullivan Internal Medicine 1093 Prospect Ave, West Hartford, CT 06105-1104 2016-07-20
1740675818 Vivek Alaigh Internal Medicine 29 Hospital Plz Ste 601, Stamford, CT 06902-3602 2015-04-05
1669801619 Geetika Gupta Internal Medicine 1952 Whitney Ave Ste 14, Hamden, CT 06517-1209 2013-11-09
1134562911 Lori Marie De La Portilla Internal Medicine 462 Queen St # 303, Southington, CT 06489-1801 2013-04-11
1346592862 Kathleen Mary O'connell Internal Medicine 9 Stonecrop Ln, Wilton, CT 06897-2405 2012-10-08
1104159037 Robert Aaron Levine Internal Medicine 137 Winthrop Rd, Guilford, CT 06437-1632 2009-09-10
1124209101 Maryanne Horta Bhojwani Internal Medicine 112 Quarry Rd Ste 250, Trumbull, CT 06611-4877 2007-11-19
1366585762 Ann E Taylor Internal Medicine Pfizer, Eastern Point Road, Groton, CT 06340 2007-02-15
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Competitor

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City AVON
Zip Code 06001

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Dataset Information

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.

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