Active NPI
Akiva Bronstein, PA
- Physician Assistant
- Farmington, CT
National Provider Identifier
1164458204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001642
- Practice address
- 270 Farmington Ave
Farmington, CT 06032-1909 - Phone
- (860) 677-5577
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
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.
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- NPI 1831921378
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- NPI 1023584216
CT, Surgical
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Derby, CT
- NPI 1598755605
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-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
- General Acute Care Hospital
- Forest Hills, NY
- NPI 1124060538
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- JS Weill Medical College, Cornell University, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Connecticut Mental Health Specialists IncValue Based Long Term Care K PC
Practice addresses (Care Compare)
270 Farmington Ave
Farmington, CT 06032-1953
Phone (860) 677-5570
Merit-based Incentive Payment System (MIPS)
- Final score
- 46.78 of 100
- Quality
- 33.56
- Promoting interoperability
- 0
- Improvement activities
- 40
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061221000441 | CT | Practitioner - Physician Assistant | 7517947450 | Reassigns benefits to 6 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001642 | CT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists, PLLC | Surgical | Current | Accepting new patients |
| The Parkway Hospital | Past | Accepting new patients |
Locations
2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366
130 Division St
Derby, CT 06418
Phone (203) 732-1330
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 001642 | CT | |
| Surgical Physician Assistant | 363AS0400X | 009283 | NY | |
| Physician Assistant | 363A00000X | 001642 | CT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
270 Farmington Ave
Farmington, CT 06032-1909
Mailing address
270 Farmington Ave
Farmington, CT 06032-1909
Phone (860) 677-5577
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vumc@direct.vumc.org | Direct |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 15, 2024.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1164458204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060321909",
"telephone_number": "860-677-5577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060321909",
"telephone_number": "860-677-5577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRONSTEIN",
"first_name": "AKIVA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CT",
"license": "001642",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "009283",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "001642",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vumc@direct.vumc.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Health Information Service Provider",
"address_1": "3601 The Vanderbilt Clinic",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372321326",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.