Maryann Chomiak, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

000160 Issued in CT

Practice address

5520 Park Ave
Trumbull, CT 06611

Phone

(203) 373-7330

NPI assigned

Sep 13, 2006

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

Specialty

Physician Assistant

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pain Management Partners LLCGroup PAC ID 8426488081, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Pain Management Partners LLC

  • Pain Medicine (Anesthesiology) Physician
  • Waterbury, CT
  • NPI 1306485925
  Medicare reassignment Care Compare group
• Pain Management Partners LLC

  • Pain Medicine (Anesthesiology) Physician
  • New Milford, CT
  • NPI 1174155642
  NPD
• Pain Management Partners LLC

  • Pain Medicine (Anesthesiology) Physician
  • Farmington, CT
  • NPI 1164057568
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1669577953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMCIK RD",
            "address_2": "EXECUTIVE PLAZA 1, SUITE 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "21031",
            "telephone_number": "410-329-1071",
            "fax_number": "410-329-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 PARK AVE",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "06611",
            "telephone_number": "203-373-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOMIAK",
        "first_name": "MARYANN",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "000160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chesapeake Reflections , LLC
• Childrens Dentistry of Trumbull, PC
• Sara Nicole Chille, RD
• Camille M Chistoni
• Choice Manual Therapy LLC
• Ronika Dua Choudhary, MD
• Octavio Choy, MD
• Ashley Rachelle Christensen, D.O.
• Ayanna Johnese Christian
• Michelle Lynne Ciccarelli, OTR/L

• Medical Physician Assistant in Trumbull, CT
• Providers in Trumbull, CT by specialty
• Medical Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.