Individual provider Active NPI

Phillip Kuzawa

  • Critical Care Medicine Clinical Nurse Specialist
  • New Britain, CT
National Provider Identifier
1215864566
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Clinical Nurse SpecialistTaxonomy code 364SC0200X
License
232065 Issued in CT
Practice address
41 Charlene Dr
New Britain, CT 06053-2011
Phone
(860) 518-6604
NPI assigned
May 8, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SC0200X 232065 CT Primary

Addresses

Primary practice location

41 Charlene Dr
New Britain, CT 06053-2011

Mailing address

41 Charlene Dr
New Britain, CT 06053-2011
Phone (860) 518-6604

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

State licenses

LicenseStateTypeSpecialty
232065CTMDCritical Care Medicine Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1778198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1215864566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CHARLENE DR",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060532011",
            "telephone_number": "860-518-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CHARLENE DR",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060532011",
            "telephone_number": "860-518-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZAWA",
        "first_name": "PHILLIP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-08",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Critical Care Medicine",
            "state": "CT",
            "license": "232065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.