Individual provider Active NPI

Rosalind McLaine, PA-C

  • Physician Assistant
  • Fairfield, CT
National Provider Identifier
1609344555
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5227 Issued in CT
Practice address
1918 Black Rock Tpke
Fairfield, CT 06825-3543
Phone
(203) 583-8400
NPI assigned
Nov 8, 2018
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5227 CT Primary

Addresses

Primary practice location

1918 Black Rock Tpke
Fairfield, CT 06825-3543

Mailing address

70 Pleasant St Apt 2
North Attleboro, MA 02760-1189

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210719002867 CT Practitioner - Physician Assistant 2163766635 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
QMG3 LLCGroup PAC ID 8628353117, 18 clinicians
QMG7 LLCGroup PAC ID 0749642726, 15 clinicians
QMG5,LLCGroup PAC ID 2062820913, 17 clinicians

Practice addresses (Care Compare)

389 Bridgeport Ave
Shelton, CT 06484-5303
Phone (203) 567-4171

527 Elm St
New Haven, CT 06511-4549
Phone (203) 675-1345

57 Monroe Tpke
Trumbull, CT 06611-1315
Phone (203) 675-1345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Seacoast Neurology Group, PC Neurology PastSince Jun 29, 2025 Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1609344555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 PLEASANT ST APT 2",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027601189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 BLACK ROCK TPKE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253543",
            "telephone_number": "203-583-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAINE",
        "first_name": "ROSALIND",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "5227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

Verify at the official NPI Registry.