Kristin Coppola Newton, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

54377 Issued in CT

Practice address

11 Old Park Lane Rd
New Milford, CT 06776-2507

Phone

(860) 355-1149

NPI assigned

Mar 21, 2012

Last updated

Sep 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Kristin Annette Coppola Former name

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

Specialty

Family Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nuvance Health Medical Practice PCGroup PAC ID 1658468442, 578 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sharon Hospital Hospital, Sharon, CT, CCN 070004

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Nuvance Health Medical Practice PC

  • Internal Medicine Physician
  • Poughkeepsie, NY
  • NPI 1437358033

  CT

  Medicare reassignment Care Compare group NPD
• New Milford Medical Group, LLC

  • Internal Medicine Physician
  • New Milford, CT
  • NPI 1356403323
  Medicare reassignment NPD

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

• Vassar Health Connecticut, Inc.

  dba Sharon Hospital

  • General Acute Care Hospital
  • Sharon, CT
  • NPI 1235131442
  Care Compare affiliation

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1558636779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 OLD PARK LANE RD",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067762507",
            "telephone_number": "860-355-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 OLD PARK LANE RD",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067762507",
            "telephone_number": "860-355-1149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "64 Maple St",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "CT",
            "postal_code": "067571721",
            "country_code": "US",
            "telephone_number": "860-927-1133",
            "fax_number": "860-927-1166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWTON",
        "first_name": "KRISTIN",
        "middle_name": "COPPOLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "54377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "COPPOLA",
            "middle_name": "ANNETTE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• New Milford Podiatry LLC
• New Milford Public School
• New Milford Rehabilitation LLC (Candlewood Valley Health and Rehabilitation Center)
• New Milford Visiting Nurse Association, Inc.
• New Milford Visiting Nurse Association, Inc.
• Lance Michael Nicholls, PHARMD
• Samantha Nimri, PHARMD
• NM Anesthesia Associates, PC
• Northeast Radiology of Connecticut
• Northeast Radiology of CT LLC

• Family Medicine Physician in New Milford, CT
• Providers in New Milford, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.

Verify at the official NPI Registry.