MR. GREGORY RICHARD CRISCUOLO JR. (NPI# 1962829101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962829101 |
| Entity Type | Individual |
| Full Name | MR. GREGORY RICHARD CRISCUOLO JR. |
| Credential | PA-C |
| Practice Address |
1 Lake St New Britain CT 06052-1396 |
| Mailing Address |
360 Bloomfield Ave Ste 209 Windsor CT 06095-2700 |
| Practice Telephone | 8602583470 |
| Mailing Telephone | 8602583470 |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2019-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3047 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235170341 | Gregory R Criscuolo | Neurological Surgery | 330 Washington St, Suite 540, Norwich, CT 06360-2700 | 2006-06-09 |
| Street Address |
1 LAKE ST |
| City | NEW BRITAIN |
| State | CT |
| Zip Code | 06052-1396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152360 | Corlis L. Archer-goode | Urology | 1 Lake St, Bldg B2nd, New Britain, CT 06052-1396 | 2005-05-24 |
| 1811467343 | Mohamad Beydoun | Dentist | 1 Lake St, New Britain, CT 06052-1396 | 2018-11-27 |
| 1225546567 | Pediatric Dentistry and Orthodontics Pllc | Dentist | 1 Lake St, New Britain, CT 06052-1396 | 2018-01-22 |
| 1568868123 | Caitlin Mccormick | Physician Assistant | 1 Lake St, Building D, New Britain, CT 06052-1396 | 2014-11-10 |
| 1528470267 | Jonathan Winkler | Internal Medicine | 1 Lake St, New Britain, CT 06052-1396 | 2014-05-29 |
| 1659527497 | Gilbert Ching | Internal Medicine | 1 Lake St, New Britain, CT 06052-1396 | 2008-08-12 |
| 1437315355 | Jason Leung | Dentist | 1 Lake St, New Britain, CT 06052-1396 | 2008-07-30 |
| 1689842569 | Joshua Aaron Stein | Urology | 1 Lake St, #b, New Britain, CT 06052-1396 | 2008-02-13 |
| 1326226044 | Arun Agarwal | Internal Medicine | 1 Lake St, New Britain, CT 06052-1396 | 2008-02-05 |
| 1609064054 | Donna Ford | Nurse Practitioner | 1 Lake St, New Britain, CT 06052-1396 | 2007-10-11 |
| 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 | 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 |
|---|---|---|---|---|
| 1467075077 | Kathleen Wilcox | Physician Assistant | 47 Millard St Fl 2, New Britain, CT 06051-2431 | 2020-05-19 |
| 1669032710 | Sarah Hoxha | Physician Assistant | 7 Cidermill Ct, New Britain, CT 06053-2242 | 2019-06-19 |
| 1912474024 | Celinez M Coons | Physician Assistant | 66 S Mountain Dr, New Britain, CT 06052-1510 | 2018-10-26 |
| 1083185060 | Nicole-christin Dujon | Physician Assistant | 100 Grand St, New Britain, CT 06052-2016 | 2018-12-17 |
| 1003314121 | Amy Canino | Physician Assistant | 100 Grand St, New Britain, CT 06052-2016 | 2018-01-23 |
| 1306360193 | Anthony Joseph Vannucci | Physician Assistant | 100 Grand St, New Britain, CT 06052-2016 | 2017-08-02 |
| 1497200539 | David William Toone | Physician Assistant | 100 Grand St, New Britain, CT 06052-2016 | 2016-08-18 |
| 1225484314 | Carly Melissa Muniz | Physician Assistant | 100 Grand St, New Britain, CT 06052-2016 | 2016-05-09 |
| 1700256187 | Mary-kate Baxter | Physician Assistant | 100 Grand St, New Britain, CT 06052-2016 | 2015-09-29 |
| 1568868123 | Caitlin Mccormick | Physician Assistant | 1 Lake St, Building D, New Britain, CT 06052-1396 | 2014-11-10 |
| Find all providers in NEW BRITAIN | ||||
| City | NEW BRITAIN |
| Zip Code | 06052 |
Please comment or provide details below to improve the information on MR. GREGORY RICHARD CRISCUOLO JR..
| 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.