Individual provider Active NPI

Ilja Hulinsky, MD PHD

  • Endocrinology, Diabetes & Metabolism Physician
  • West Haven, CT
National Provider Identifier
1134134018
Registry record updated Aug 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
037019 Issued in CT
Practice address
755 Campbell Ave
West Haven, CT 06516-3715
Phone
(203) 374-4490
NPI assigned
Jul 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 037019 CT Primary

Addresses

Primary practice location

755 Campbell Ave
West Haven, CT 06516-3715

Mailing address

22 Westwood Dr
Easton, CT 06612-2123
Phone (203) 374-4490

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130415000175 CT Practitioner - Endocrinology 2961648118 Reassigns benefits to 1 organization
Practice locations: Bridgeport, CT

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4641 Main St
Suite 3
Bridgeport, CT 06606-1827
Phone (203) 374-4490

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
037019CTMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital CurrentSince Jun 14, 2023 Accepting new patients
Hartford Hospital CurrentSince Jun 14, 2023 Accepting new patients
Ilja Hulinsky MD PC Endocrinology, Diabetes & Metabolism CurrentSince Sep 1, 2019 Accepting new patients
Joel Zaretzky M.D.P.C. Past Accepting new patients

Locations

4641 Main St
Ste 3
Bridgeport, CT 06606
Phone (203) 244-9529

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

755 Campbell Ave
West Haven, CT 06516
Phone (203) 882-9608

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440892800000",
    "number": "1134134018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WESTWOOD DR",
            "city": "EASTON",
            "state": "CT",
            "postal_code": "066122123",
            "telephone_number": "203-374-4490",
            "fax_number": "203-374-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 CAMPBELL AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163715",
            "telephone_number": "203-374-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULINSKY",
        "first_name": "ILJA",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2015-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CT",
            "license": "037019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

Verify at the official NPI Registry.