Active NPI
Faisal Ijaz, NURSE PRACTITIONER
- Family Nurse Practitioner
- East Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5497
- Practice address
- 580 Burnside Ave
East Hartford, CT 06108-3579 - Phone
- (860) 528-5068
- Fax
- (860) 528-2341
- NPI assigned
- Aug 28, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5497 | CT | Primary |
| Family Nurse Practitioner | 363LF0000X | RN2290444 | MA |
Addresses
Primary practice location
580 Burnside Ave
East Hartford, CT 06108-3579
Mailing address
24 Grimes Rd
Rocky Hill, CT 06067-2406
Phone (860) 597-1331
Other practice location 1
430 Cooley St
Springfield, MA 01128-1180
Phone (413) 782-0320
Other practice location 2
263 Farmington Avenue
Farmington, CT 06030-8082
Phone (860) 679-6599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1505 Memorial Dr
Chicopee, MA 01020-3900
Phone (413) 366-9977
365 Hemingway Ave
East Haven, CT 06512-2384
Phone (860) 454-0678
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5497 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care, PC - Massachusetts | Current | Accepting new patients | |
| First Choice Health Centers, Inc. | Current | Accepting new patients | |
| First Choice Health Centers, Inc. | Current | Accepting new patients | |
| Afc Physicians of Connecticut, PC | Current | Accepting new patients | |
| Starling Physicians PLLC | Current | Accepting new patients | |
| First Choice Health Centers, Inc. | Current | Accepting new patients | |
| Afc Physicians of Connecticut, PC | Current | Accepting new patients | |
| Starling Physicians, PLLC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group, Inc | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Massachusetts | Current | Accepting new patients | |
| Infinite Medical PC | Current | Accepting new patients | |
| Urgent Care Medical Center LLC | Current | Accepting new patients | |
| State of Connecticut | Current | Accepting new patients | |
| State of Connecticut | Current | Accepting new patients | |
| University of Connecticut Health Center | Past | Accepting new patients | |
| Mevelyn Michelle Morse DPM. PC | Past | Accepting new patients | |
| Connecticut OBGYN | Past | Accepting new patients |
Locations
100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830
41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000
2 Main St
Danbury, CT 06810
Phone (203) 826-2140
265 Ellington Rd
East Hartford, CT 06108
Phone (860) 291-2789
365 Hemingway Ave
East Haven, CT 06512
Phone (203) 466-1410
105 West Rd
Ellington, CT 06029
Phone (860) 454-0678
263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477
94 Connecticut Blvd
Hartford, CT 06108
Phone (860) 610-6191
111 Salem Tpke
Ste 8
Norwich, CT 06360
Phone (860) 886-0023
55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144
80 Fern Dr
Torrington, CT 06790
Phone (203) 294-7300
1505 Memorial Dr
Chicopee, MA 01020
Phone (413) 331-4336
111 Headwaters Dr
Harwich, MA 02645
Phone (508) 430-1717
430 Cooley St
Springfield, MA 01128
Phone (413) 295-4144
250 Skillman St
Ste 202
Brooklyn, NY 11205
250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173
Interoperability endpoints
- faisal.ijaz@xdr.hhchealthdirect.org
Organizations & group practices 18
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Priority Urgent Care
- Urgent Care Clinic/Center
- Ellington, CT
- NPI 1295186286
MA
-
- Urgent Care Clinic/Center
- Danbury, CT
- NPI 1003152984
-
- Federally Qualified Health Center (FQHC)
- East Hartford, CT
- NPI 1215923131
-
dba Hartford HealthCare Medical Group
- Surgery Physician
- Wethersfield, CT
- NPI 1043561301
-
- Internal Medicine Physician
- Rocky Hill, CT
- NPI 1467537290
-
- General Acute Care Hospital
- Farmington, CT
- NPI 1669466561
-
dba MedExpress Urgent Care - Hadley, Russell St
- Urgent Care Clinic/Center
- Hadley, MA
- NPI 1558882845
-
- Family Nurse Practitioner
- Rocky Hill, CT
- NPI 1023791316
-
dba AFC Urgent Care
- Urgent Care Clinic/Center
- Rocky Hill, CT
- NPI 1285387530
-
- Federally Qualified Health Center (FQHC)
- East Hartford, CT
- NPI 1215518733
-
- Federally Qualified Health Center (FQHC)
- Vernon, CT
- NPI 1558804070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1336573146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 GRIMES RD",
"city": "ROCKY HILL",
"state": "CT",
"postal_code": "060672406",
"telephone_number": "860-597-1331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 BURNSIDE AVE",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061083579",
"telephone_number": "860-528-5068",
"fax_number": "860-528-2341"
}
],
"practiceLocations": [
{
"address_1": "430 Cooley St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MA",
"postal_code": "011281180",
"country_code": "US",
"telephone_number": "413-782-0320",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "263 Farmington Avenue",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "CT",
"postal_code": "060308082",
"country_code": "US",
"telephone_number": "860-679-6599",
"fax_number": "860-679-7077",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IJAZ",
"first_name": "FAISAL",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-28",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "5497",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2290444",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.