Advanced Pain and Regenerative Medical Solutions Corp
Organization Active NPI Family Medicine Physician · Shelton, CT
NPI 1245014331 · NPPES record last updated Sep 28, 2023
Key facts
- NPI
- 1245014331
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ADVANCED PAIN AND REGENERATIVE MEDICAL SOLUTIONS CORP
- Practice address
- 10 Progress Dr
Shelton, CT 06484-6293 - Phone
- (203) 948-8127
- NPI assigned
- Aug 21, 2023
- Organization subpart
- No
Authorized official
- Name
- David Waltzer, DC
- Title
- Owner
- Phone
- (203) 948-8127
Practitioners 8
-
Hillary A Iweorah, PA-C
-
Alfonse Mariano Campo, M.D.
-
Mark A Gregorio, DNP, APRN, CNP, NP-C
-
Julie Anne Ouellette, APRN
-
Jessica-Lee Sabatino, FNP
-
Abhinit Drupad Shah, M.B.B.S, M.D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240405002424 | CT | Part B Supplier - Clinic/Group Practice | 4587002712 |
Receives reassigned benefits from 7 practitioners Practice locations: Shelton, CT |
National Provider Directory
Locations
10 Progress Dr
Ste 2F
Shelton, CT 06484
Phone (203) 278-6394
10 Progress Dr
Shelton, CT 06484
Phone (203) 944-3718
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
10 Progress Dr
Shelton, CT 06484-6293
Mailing address
10 Progress Dr Ste 2F
Shelton, CT 06484-6294
Other providers in Shelton, CT
- Lindsay Michaela Adanti
- Susan Walsh Ade
- Oluwaseun Adekanye
- Adult Day Care of America, Inc.
- Advanced Medical & Rehabilitation
- Advanced Radiology Consultants LLC
- Advanced Radiology MRI Centers LP
- Advanced Radiology Partners LLC
- Aesop Senior Health PC
- Aging in Place LLC
All providers in Shelton, CT · Family Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.