Individual provider Active NPI

Marie Gelinas

  • Certified Registered Nurse Anesthetist
  • Waterbury, CT
National Provider Identifier
1508945122
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
003391 Issued in CT
Practice address
140 Grandview Ave
Waterbury, CT 06708-2505
Phone
(203) 757-7000
NPI assigned
Nov 3, 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
Certified Registered Nurse Anesthetist 367500000X 003391 CT Primary

Addresses

Primary practice location

140 Grandview Ave
Waterbury, CT 06708-2505

Mailing address

63 Laurel Woods Rd
Woodbury, CT 06798-2516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050829000211 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032140173 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
003391CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Endoscopy Center of Connecticut, LLC CurrentSince Jun 1, 2020 Accepting new patients
Connecticut Gi PLLC CurrentSince Jul 1, 2020 Accepting new patients
Endoscopy Center of Connecticut, LLC CurrentSince Jun 1, 2020 Accepting new patients
Anesthesiologists of Middletown, P.C. CurrentSince Jan 3, 2023 Accepting new patients
North American Partners in Anesthesia Connecticut PC CurrentSince Apr 13, 2020 Accepting new patients

Locations

73 Sand Pit Rd
Danbury, CT 06810
Phone (203) 743-2400

2200 Whitney Ave
Ste 380
Hamden, CT 06518
Phone (203) 281-3636

85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571

145 S Main St
Middletown, CT 06457
Phone (860) 346-5889

410 Saybrook Rd
Middletown, CT 06457
Phone (615) 686-2262

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

901 Ethan Allen Hwy
Ridgefield, CT 06877
Phone (203) 383-9967

30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

Organizations & group practices 5

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508945122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 LAUREL WOODS RD",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067982516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 GRANDVIEW AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082505",
            "telephone_number": "203-757-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELINAS",
        "first_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "003391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.