NPIMap

Individual provider Active NPI

Paul Christopher Polzella, PA-C

  • Surgical Physician Assistant
  • Farmington, CT
National Provider Identifier
1043243330
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
000705 Issued in CT
Practice address
399 Farmington Ave
Suite 210
Farmington, CT 06032-1936
Phone
(860) 548-7338
Fax
(860) 674-4232
NPI assigned
Jul 9, 2006
Last updated
Jul 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA052532 PA
Surgical Physician Assistant 363AS0400X 000705 CT Primary

Addresses

Primary practice location

399 Farmington Ave
Suite 210
Farmington, CT 06032-1936

Mailing address

399 Farmington Ave
Suite 210
Farmington, CT 06032-1936
Phone (860) 548-7338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130103000004 CT Practitioner - Physician Assistant 4183637424 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
JS Weill Medical College, Cornell University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579

399 Farmington Ave
Lowr Level
Farmington, CT 06032-1936
Phone (860) 278-0079

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 972-0549

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
000705CTMDClinical Psychologist
MA052532PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Surgical CurrentSince Jun 1, 2019 Accepting new patients
Hartford Healthcare Medical Group, Inc Physician Assistant CurrentSince Jan 1, 2013 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Mar 5, 2016 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jun 1, 2019 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Mar 1, 2022 Accepting new patients
Hartford Clinical Associates, P.C. Physician Assistant Past Accepting new patients
Hospital of Saint Raphael Past Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

399 Farmington Ave
Ste 210
Farmington, CT 06032
Phone (860) 548-7338

1000 Asylum Ave
Ste 4309A
Hartford, CT 06105

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

12 Lathrop Rd
Plainfield, CT 06374
Phone (860) 457-9150

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

Interoperability endpoints

  • Direct secure messaging: paul.polzella@xdr.hhchealthdirect.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1043243330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 FARMINGTON AVE",
            "address_2": "SUITE 210",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321936",
            "telephone_number": "860-548-7338",
            "fax_number": "860-674-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 FARMINGTON AVE",
            "address_2": "SUITE 210",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321936",
            "telephone_number": "860-548-7338",
            "fax_number": "860-674-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLZELLA",
        "first_name": "PAUL",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052532",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "000705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.