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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
032434 | CT | Allopathic & Osteopathic Physicians |
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 |
Street Address |
40 DALE RD SUITE 202 |
City | AVON |
State | CT |
Zip Code | 06001 |
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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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 |
Find all providers in zip 06001 |
Taxonomy Code | 207RE0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Endocrinology, Diabetes & Metabolism |
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. |
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 |
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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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.