Quentin Medical Group, LLC
Organization Active NPI Urgent Care Clinic/Center · Bridgeport, CT
NPI 1487087250 · NPPES record last updated Jan 30, 2025
Key facts
- NPI
- 1487087250
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- License
- 038137 (CT)
- Legal business name
- QUENTIN MEDICAL GROUP, LLC
- Practice address
- 161 Boston Ave
Bridgeport, CT 06610-1662 - Phone
- (203) 333-4400
- NPI assigned
- Aug 16, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Steven Martin Heffer, M.D.
- Title
- Director
- Phone
- (203) 333-4400
Practitioners 84
-
Cathleen M Azarigian, APRN
-
Brandon Pervis Sr., APRN, FNP-C
-
Jory Robinson, APRN
-
Michael Anthony Ascenzia, P.A.-C
-
Corey Craig Bousquet, PA-C
-
Kristen Michelle Kinslow, PA-C
-
Julie London, PA-C
-
Jonathan Torres, PA
-
Noman Zafar, PA-C
-
Lisa Marie Bergeron, APRN
-
Bharat Bhushan, ARNP
-
Alfonse Mariano Campo, M.D.
-
Rose N Casimir, FNP
-
Vanessa A. Filippelli, APRN
-
Bryan A Fix, APRN
-
Rosemary Fox, FNP
-
Daniella Gould, MSN, FNP-BC
-
Jennifer M Hagberg, NP-C
-
Steven M Heffer, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140130000098 | CT | Part B Supplier - Clinic/Group Practice | 4981833647 |
Receives reassigned benefits from 83 practitioners Practice locations: Bridgeport, CT |
National Provider Directory
Locations
161 Boston Ave
Bridgeport, CT 06610
Phone (203) 333-4400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | 038137 | CT | Yes |
Addresses
Primary practice location
161 Boston Ave
Bridgeport, CT 06610-1662
Mailing address
161 Boston Ave
Bridgeport, CT 06610-1662
Phone (203) 333-4400
Other providers in Bridgeport, CT
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- Marva Quaccoo
- Valerie Quarles
- Jennifer Qubick
- Franizise Querette
- Ronald Querette
- Kathryn J Quinn
- Gianna Quintana
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All providers in Bridgeport, CT · Urgent Care Clinic/Center in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2025. 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.