Carolyn Brown (NPI# 1023513132, PAC ID# 9830443555) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1023513132 |
| PAC ID by PECOS | 9830443555 |
| Professional Enrollment ID | I20181116000238 |
| Full Name | Carolyn Brown |
| Organization Legal Name | NORTHEAST MEDICAL GROUP INC |
| Address |
112 Quarry Rd Suite 400 Trumbull CT 06611-4877 |
| Phone Number | 2033338800 |
| Gender | F |
| Medical School | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1254233836 |
| Number of Group Practice Members | 1014 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070010 | BRIDGEPORT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4877 | 2033338800 | NORTHEAST MEDICAL GROUP INC |
| Organization Legal Name | NORTHEAST MEDICAL GROUP INC |
| Physicians | 1113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel J Razzano | Internal Medicine | Northeast Medical Group Inc | 1 Long Wharf Dr, New Haven, CT 06511-5991 |
| Irene Besser | Certified Nurse Midwife (cnm) | Northeast Medical Group Inc | 3 Shaws Cv, New London, CT 06320-4952 |
| Ang Zhang | Internal Medicine | Northeast Medical Group Inc | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 |
| Nicole Parry | Nurse Practitioner | Northeast Medical Group Inc | 999 Silver Lane, Trumbull, CT 06611-5343 |
| Amanda L Hall | Nurse Practitioner | Northeast Medical Group Inc | 1308 Chapel St, New Haven, CT 06511-4515 |
| Murielle Exantus | Nurse Practitioner | Northeast Medical Group Inc | 422 Highland Ave, Cheshire, CT 06410-2526 |
| Brittany L Provenzano | Nurse Practitioner | Northeast Medical Group Inc | 887 Bridgeport Ave, Shelton, CT 06484-7602 |
| Pradnya Velankar | Cardiovascular Disease (cardiology) | Northeast Medical Group Inc | 230 Waterford Pkwy S, Waterford, CT 06385-1219 |
| Kitima Boonvisudhi | General Surgery | Northeast Medical Group Inc | 40 Boston Post Rd, Waterford, CT 06385-2424 |
| Andrew J. Anson | Psychiatry | Northeast Medical Group Inc | 111 Beach Rd, Fairfield, CT 06824-6668 |
| Street Address |
112 QUARRY RD SUITE 400 |
| City | TRUMBULL |
| State | CT |
| Zip | 06611-4877 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pritee Gada | Family Medicine | Northeast Medical Group Inc | 112 Quarry Rd, Suite 450, Trumbull, CT 06611-4848 |
| Molain Saintilus | Internal Medicine | Northeast Medical Group Inc | 112 Quarry Rd, Suite 450, Trumbull, CT 06611-4848 |
| Joseph Tortorello | Internal Medicine | Northeast Medical Group Inc | 112 Quarry Rd, Suite 220, Trumbull, CT 06611-4877 |
| Donna Leonardo | Qualified Audiologist | Northeast Medical Group Inc | 112 Quarry Rd, Suite 450, Trumbull, CT 06611-4848 |
| Kenneth Nori | Internal Medicine | Northeast Medical Group Inc | 112 Quarry Rd, Suite 450, Trumbull, CT 06611-4848 |
| Cosmo Filiberto | Internal Medicine | Northeast Medical Group Inc | 112 Quarry Rd, Suite 450, Trumbull, CT 06611-4848 |
| Arnold Dorosario | Internal Medicine | Northeast Medical Group Inc | 112 Quarry Rd, Suite 450, Trumbull, CT 06611-4848 |
| John L Maiocco | Podiatry | Northeast Medical Group Inc | 112 Quarry Rd, Suite 450, Trumbull, CT 06611-4848 |
| Douglas S. Dufore | Psychologist, Clinical | Northeast Medical Group Inc | 112 Quarry Rd, Suite 450, Trumbull, CT 06611-4848 |
| Shubnum Singh | Nurse Practitioner | Northeast Medical Group Inc | 112 Quarry Rd, Suite 450, Trumbull, CT 06611-4848 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Magdalena Rodriguez Cordero | General Practice | Carr 602 Km, 4 Bo Angeles, Angeles, PR 06611-0099 | |
| Susan M Mudd | Registered Dietitian Or Nutrition Professional | Fairfield County Medical Group PC | 15 Corporate Dr, Suite 2 1, Trumbull, CT 06611-1351 |
| Frank Spano | Internal Medicine | Fairfield County Medical Group PC | 15 Corporate Dr, Suite 2 1, Trumbull, CT 06611-1351 |
| Susan S Krutt | Qualified Audiologist | Connecticut Ear Nose Throat Medical and Surgical Specialists PC | 15 Corporate Dr, Suite 2 8, Trumbull, CT 06611-1351 |
| Colleen E Driscoll | Physician Assistant | Connecticut Ear Nose Throat Medical and Surgical Specialists PC | 15 Corporate Dr, Suite 2 8, Trumbull, CT 06611-1351 |
| Stephanie F Merck | Nurse Practitioner | Fairfield County Medical Group PC | 15 Corporate Dr, Suite 2 1, Trumbull, CT 06611-1351 |
| Daniel Jay Rudolph | Internal Medicine | Pulmonary and Internal Medicine Associates PC | 15 Corporate Dr, Trumbull, CT 06611-1351 |
| Daniel R Tierney | Physician Assistant | Connecticut Ear Nose Throat Medical and Surgical Specialists PC | 15 Corporate Dr, Suite 2 8, Trumbull, CT 06611-1351 |
| Kateryna Karayanidi | Qualified Audiologist | Connecticut Ear Nose Throat Medical and Surgical Specialists PC | 15 Corporate Dr, Suite 2 8, Trumbull, CT 06611-1351 |
| Rachelle D Angelo | Nurse Practitioner | Fairfield County Medical Group PC | 15 Corporate Dr, Suite 2 1, Trumbull, CT 06611-1351 |
| Find all physicians in zip 06611 | |||
| City | TRUMBULL |
| Zip Code | 06611 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TRUMBULL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Carolyn Brown.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.