Individual provider Active NPI

Maria D Cosimini, NP

  • Family Nurse Practitioner
  • Glastonbury, CT
National Provider Identifier
1699515536
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2357063 Issued in MA
Practice address
622 Hebron Ave Ste 107
Glastonbury, CT 06033-5003
Phone
(860) 657-3376
NPI assigned
May 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2357063 MA Primary

Addresses

Primary practice location

622 Hebron Ave Ste 107
Glastonbury, CT 06033-5003

Mailing address

622 Hebron Ave Ste 107
Glastonbury, CT 06033-5003

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
I20240716002574 CT Practitioner - Nurse Practitioner 5698210409 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Farmington Valley Dermatology and Surgery LLCGroup PAC ID 8123240132, 9 clinicians
Dermatology Associates of Eastern CT LLCGroup PAC ID 8628020757, 7 clinicians

Practice addresses (Care Compare)

2400 Tamarack Ave
Suite 203
South Windsor, CT 06074-5559
Phone 8606749900120

622 Hebron Ave
Suite 107
Glastonbury, CT 06033-5003
Phone (860) 657-3376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13289CTMDDentist
RN2357063MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Farmington Valley Dermatology and Surgery, LLC CurrentSince Oct 1, 2025 Accepting new patients
Dermatology Associates of Eastern CT LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

30 W Avon Rd
Avon, CT 06001
Phone (860) 673-2581

30 W Avon Rd
Ste E
Avon, CT 06001
Phone (860) 674-9900

622 Hebron Ave
Ste 107
Glastonbury, CT 06033
Phone (860) 657-3376

622 Hebron Ave
Ste 101
Glastonbury, CT 06033
Phone (860) 657-3376

2400 Tamarack Ave
Ste 203
South Windsor, CT 06074
Phone (860) 251-9121

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1699515536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 HEBRON AVE STE 107",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060335003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 HEBRON AVE STE 107",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060335003",
            "telephone_number": "860-657-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSIMINI",
        "first_name": "MARIA",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2357063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.