Active NPI
Rebecca Alaimo
- Physician Assistant
- Essex, CT
National Provider Identifier
1124751433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 6611
- Practice address
- 1 Wildwood Medical Ctr
Essex, CT 06426-1155 - Phone
- (860) 767-0168
- NPI assigned
- Jul 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 6611 | CT | Primary |
Addresses
Primary practice location
1 Wildwood Medical Ctr
Essex, CT 06426-1155
Mailing address
1 Wildwood Medical Ctr
Essex, CT 06426-1155
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
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wildwood Pediatrics and Adolescent Medicine LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Essex, CT
- NPI 1750405023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1124751433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WILDWOOD MEDICAL CTR",
"city": "ESSEX",
"state": "CT",
"postal_code": "064261155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WILDWOOD MEDICAL CTR",
"city": "ESSEX",
"state": "CT",
"postal_code": "064261155",
"telephone_number": "860-767-0168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALAIMO",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-05",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "6611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Essex, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.