Active NPI
Andrea Marie Niziolek, PA
- Medical Physician Assistant
- Westbrook, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 001752
- Practice address
- 250 Flat Rock PL
Westbrook, CT 06498-3585 - Phone
- (860) 358-3640
- Fax
- (860) 358-8656
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 001752 | CT | Primary |
Addresses
Primary practice location
250 Flat Rock PL
Westbrook, CT 06498-3585
Mailing address
28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-4870
Other names 1
- Andrea Marie Forgione
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060302000200 | CT | Practitioner - Physician Assistant | 5294741112 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- MHS Primary Care, Inc.
Practice addresses (Care Compare)
250 Flat Rock PL
Westbrook, CT 06498-3585
Phone (860) 358-3640
270 Main St
Suite a
Portland, CT 06480-1836
Phone (860) 358-5040
Hospital & facility affiliations
- Middlesex Health Care at Home and Hospice Program
- Middlesex Hospital
- Yale-New Haven Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001752 | CT | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Current | Accepting new patients | |
| MHS Primary Care | Current | Accepting new patients | |
| MHS Primary Care Inc | Current | Accepting new patients | |
| MHS Primary Care, Inc | Past | Accepting new patients |
Locations
2200 Whitney Ave
Ste 180
Hamden, CT 06518
Phone (203) 407-5800
28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000
175 Sherman Ave
New Haven, CT 06511
Phone (203) 562-5115
1354 Chapel St
New Haven, CT 06511
Phone (203) 867-8300
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
20 York St
#2041
North Haven, CT 06510
Phone (203) 688-1734
270 Main St
Ste A
Portland, CT 06480
Phone (860) 358-5040
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
250 Flat Rock Pl
Fl 2
Westbrook, CT 06498
Phone (860) 358-3640
250 Flat Rock Pl
Westbrook, CT 06498
Phone (860) 358-3640
Interoperability endpoints
- aniziolek75297@middlesexhealthprd.direct-ci.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Essex, CT
- NPI 1750276655
-
- Cardiovascular Disease Physician
- Hamden, CT
- NPI 1871522169
CT
-
- Urgent Care Clinic/Center
- Old Saybrook, CT
- NPI 1093138935
-
- Family Nurse Practitioner
- Middletown, CT
- NPI 1366968182
-
- Internal Medicine Physician
- Essex, CT
- NPI 1992922892
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Middletown, CT
- NPI 1194781328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1669415576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 CRESCENT ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064573654",
"telephone_number": "860-358-4870",
"fax_number": "860-358-8661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 FLAT ROCK PL",
"city": "WESTBROOK",
"state": "CT",
"postal_code": "064983585",
"telephone_number": "860-358-3640",
"fax_number": "860-358-8656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIZIOLEK",
"first_name": "ANDREA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "001752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "FORGIONE",
"middle_name": "MARIE",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Westbrook, CT
- Middlesex Hospital
- Middlesex Orthopedic Surgeons,P.C.
- Ellen Marie Morris-White, MSN, RN, FNP-C
- Kelly Keefe Nelson, MD
- Lauren Hart Nichols, PA-C
- Jeong Eun Oh, MD
- Orthopaedic & Neurosurgery Specialists, PLLC
- Orthopaedic & Neurosurgery Specialists, PLLC
- Orthopedic Associates of Middletown, PC
- Melissa Ortiz-Sinclair, MS, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.