Robin C Tedesco, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

6 Northwestern Dr Ste 305
Bloomfield, CT 06002-3428

Phone

(860) 242-8591

Fax

(860) 242-2511

NPI assigned

Jan 6, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rtedesco2377223@direct.trinity-health.org

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.

• Colon and Rectal Surgeons of Greater Hartford, LLC

  • Colon & Rectal Surgery Physician
  • Bloomfield, CT
  • NPI 1871556225
  Medicare reassignment
• Trinity Health of New England Provider Network Organization Inc

  dba Trinity Health Of New England Medical Group

  • Internal Medicine Physician
  • Hartford, CT
  • NPI 1003882812
  Medicare reassignment
• Trinity Health of New England Provider Network Organization Inc

  dba Trinity Health Of New England Medical Group

  • Internal Medicine Physician
  • Waterville, ME
  • NPI 1134779531
  NPD

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1609146778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 NORTHWESTERN DR STE 305",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023428",
            "telephone_number": "860-242-8591",
            "fax_number": "860-242-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 NORTHWESTERN DR STE 305",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023428",
            "telephone_number": "860-242-8591",
            "fax_number": "860-242-2511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Woodland Street",
            "address_2": "SICU Dept",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "06105",
            "country_code": "US",
            "telephone_number": "860-714-4694",
            "fax_number": "860-714-8096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Tamarack Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "South Windsor",
            "state": "CT",
            "postal_code": "060745559",
            "country_code": "US",
            "telephone_number": "860-242-8591",
            "fax_number": "860-242-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEDESCO",
        "first_name": "ROBIN",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-06",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talk Therapy LLC
• Tallawah Mental Health Associates PLLC
• Barbara J Tarkin, PH.D.
• Gregory Warwick Taylor, MD
• Kimberly Teahan
• Jessica M Temple, PA-C
• Tenderkare Homecare Agency LLC.
• TF Brewer, MD, Inc.
• TF Brewer, MD, Inc. (MDLive Medical Group of California)
• TF Brewer, MD, Inc.

• Surgical Physician Assistant in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Surgical Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.