Individual provider Active NPI

Justyna Biadun

  • Specialist
  • Bristol, CT
National Provider Identifier
1063348233
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
001533 Issued in CT
Practice address
53 Buff Rd
Bristol, CT 06010-7953
Phone
(860) 518-0518
NPI assigned
Jun 23, 2026
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 001533 CT Primary

Addresses

Primary practice location

53 Buff Rd
Bristol, CT 06010-7953

Mailing address

53 Buff Rd
Bristol, CT 06010-7953
Phone (860) 518-0518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1063348233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 BUFF RD",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060107953",
            "telephone_number": "860-518-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 BUFF RD",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060107953",
            "telephone_number": "860-518-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIADUN",
        "first_name": "JUSTYNA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "001533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.