Active NPI
Maria D Cosimini, NP
- Family Nurse Practitioner
- Glastonbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2357063
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13289 | CT | MD | Dentist |
| RN2357063 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farmington Valley Dermatology and Surgery, LLC | Current | Accepting new patients | |
| Dermatology Associates of Eastern CT LLC | Current | 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.
-
- Dermatology Physician
- Glastonbury, CT
- NPI 1952481418
-
- Dermatology Physician
- Avon, CT
- NPI 1164835153
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.
- 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.