Ear Nose & Throat Specialists of Central Connecticut P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

12647 Issued in CT

Legal business name

EAR NOSE & THROAT SPECIALISTS OF CENTRAL CONNECTICUT P.C.

Doing business as

DR. ROBERT A. GRYBOSKI

Practice address

233 Main St
5TH Floor
New Britain, CT 06051-4204

Phone

(860) 225-7761

Fax

(860) 225-6657

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert Andre Gryboski, M.D.

Title

Otolaryngologist

Phone

(860) 225-7761

Specialties & licenses 1

Addresses

Other identifiers 9

Other names 1

• DR. ROBERT A. GRYBOSKI Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jolanta Alicia Pecora, M.A.CCCA.

  • Audiologist
  • New Britain, CT
  • NPI 1093830127
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1508981713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 MAIN ST",
            "address_2": "5TH FLOOR",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060514204",
            "telephone_number": "860-225-7761",
            "fax_number": "860-225-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 MAIN ST",
            "address_2": "5TH FLOOR",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060514204",
            "telephone_number": "860-225-7761",
            "fax_number": "860-225-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE & THROAT SPECIALISTS OF CENTRAL CONNECTICUT P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "GRYBOSKI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ANDRE",
        "authorized_official_title_or_position": "OTOLARYNGOLOGIST",
        "authorized_official_telephone_number": "860-225-7761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "12647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "010012647CT01",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04002630",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004190196",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "HAS700",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004105294",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE FAMILY PLAN",
            "identifier": "010012647CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "OR4199",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "073071",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "517950",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR. ROBERT A. GRYBOSKI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renee Anne Dwyer, MS, LAT, ATC
• Rachelle Valdez Dyquiangco, M.D.
• Julie Elise Dyson, LPC
• Jessica Dzierlatka, LCSW
• Kristina Dzwonchyk, RRT CPFT
• Zeynep Ayse Ebcioglu, M.D.
• Camilo Echanique, MD
• Taylor Edgar
• Edward W. Akeyson, MD
• Jaemease Edwards

• Specialist in New Britain, CT
• Providers in New Britain, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.