Individual provider Active NPI

Juner Marianela Colina-Biscotto, M.D

  • Retina Specialist (Ophthalmology) Physician
  • Waterford, CT
National Provider Identifier
1457510687
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
51196 Issued in CT
Practice address
174 Cross Rd
Waterford, CT 06385-1215
Phone
(860) 444-1292
Fax
(860) 444-1292
NPI assigned
Jun 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 51196 CT Primary
Ophthalmology Physician 207W00000X 051196 CT

Addresses

Primary practice location

174 Cross Rd
Waterford, CT 06385-1215

Mailing address

174 Cross Rd
Waterford, CT 06385-1215
Phone (860) 444-1292

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbiscotto@rgne.intellechartdirect.net

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121113000218 CT Practitioner - Ophthalmology 8224289640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Group of New England PCGroup PAC ID 8921317090, 4 clinicians

Practice addresses (Care Compare)

174 Cross Rd
Waterford, CT 06385-1215
Phone (860) 444-1292

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
051196CTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Group of New England PC Retina Specialist CurrentSince Oct 1, 2015 Accepting new patients
Advanced Care Hospitalists PL Past Accepting new patients

Locations

5 Durham Rd
Ste A6
Guilford, CT 06437

79 Wawecus St
Ste 109
Norwich, CT 06360
Phone (860) 887-3538

174 Cross Rd
Waterford, CT 06385
Phone (860) 444-1292

1190 Silas Deane Hwy
Wethersfield, CT 06109

Interoperability endpoints

  • Direct secure messaging: jcolinabiscotto139100@xdr.hhchealthdirect.org
  • Direct secure messaging: jbiscotto@rgne.intellechartdirect.net
  • Direct secure messaging: jcolina57038@direct.ynhh.org

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1457510687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 CROSS RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851215",
            "telephone_number": "860-444-1292",
            "fax_number": "860-444-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 CROSS RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851215",
            "telephone_number": "860-444-1292",
            "fax_number": "860-444-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLINA-BISCOTTO",
        "first_name": "JUNER",
        "middle_name": "MARIANELA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CT",
            "license": "51196",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "051196",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbiscotto@rgne.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "174 Cross Rd",
            "city": "Waterford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "063851215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waterford, CT

Sources for this page

Verify at the official NPI Registry.