Monika Violet Fuller, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

002415 Issued in CT

Practice address

836 Foxon Rd
Medical Weight Loss Center
East Haven, CT 06513

Phone

(203) 468-9200

Fax

(203) 468-9661

NPI assigned

Sep 15, 2010

Last updated

Nov 21, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Monika Piascik Other name

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Eastern Virginia Medical School, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prohealth Physicians PCGroup PAC ID 1355246950, 214 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
• Hartford Hospital Hospital, Hartford, CT, CCN 070025
• Bristol Hospital Hospital, Bristol, CT, CCN 070029

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: monika.fuller.npi1093023806.phpct@direct.optumcare.masshiway.net

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.

• Prohealth Physicians PC

  • Family Medicine Physician
  • Farmington, CT
  • NPI 1720194053
  Medicare reassignment Care Compare group
• John E. Rivera, M.D., P.C.

  dba Southington Family Medical Center

  • Family Medicine Physician
  • Milldale, CT
  • NPI 1154387264
  NPD (past)

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

• Bristol Hospital Incorporated

  • General Acute Care Hospital
  • Bristol, CT
  • NPI 1619901642
  Care Compare affiliation
• Hartford Healthcare at Home, Inc

  • Home Health Agency
  • Wethersfield, CT
  • NPI 1073529566
  Care Compare affiliation
• Hartford Hospital

  • General Acute Care Hospital
  • Hartford, CT
  • NPI 1770696643
  Care Compare affiliation
• Hartford Hospital

  • General Acute Care Hospital
  • Hartford, CT
  • NPI 1902834880
  Care Compare affiliation

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1093023806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 FOXON RD",
            "address_2": "MEDICAL WEIGHT LOSS CENTER",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "06513",
            "telephone_number": "203-468-9200",
            "fax_number": "203-468-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 FOXON RD",
            "address_2": "MEDICAL WEIGHT LOSS CENTER",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "06513",
            "telephone_number": "203-468-9200",
            "fax_number": "203-468-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "MONIKA",
        "middle_name": "VIOLET",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "002415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONIKA",
            "last_name": "PIASCIK",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John Anthony Florentino, PHARM D
• Amanda Foti, PA-C
• Fpim of New Haven County,LLC
• Gianna Rose Franceschini
• Philip Frick, DNP, APRN
• Sara Marie Furino, D.M.D.
• Angela Sophia Galantini, PA
• Karen P Gallo
• Dominic Gambino, DMD
• Venice R Garner, LCSW

• Physician Assistant in East Haven, CT
• Providers in East Haven, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.