Individual provider Active NPI

Suzanne Robinson, PA

  • Medical Physician Assistant
  • Hamden, CT
National Provider Identifier
1316056294
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA001513 Issued in CT
Practice address
2200 Whitney Ave
Suite 100
Hamden, CT 06518-3691
Phone
(203) 407-6410
Fax
(203) 407-6433
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA001513 CT Primary

Addresses

Primary practice location

2200 Whitney Ave
Suite 100
Hamden, CT 06518-3691

Mailing address

169 School St
Apt. 13-B
Hamden, CT 06518-3126
Phone (203) 230-1471

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180102001363 CT Order and Referring Only - Physician Assistant 8820055973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001513CTMDPsychologist
1513CTMDMarriage & Family Therapist
PA001513CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice & Internal Medicine of Spring Gren 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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316056294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 SCHOOL ST",
            "address_2": "APT. 13-B",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183126",
            "telephone_number": "203-230-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WHITNEY AVE",
            "address_2": "SUITE 100",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183691",
            "telephone_number": "203-407-6410",
            "fax_number": "203-407-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "SUZANNE",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "PA001513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.