Active NPI
Benjamin Albert Tomascak
- Speech-Language Pathologist
- West Hartford, CT
National Provider Identifier
1700541760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 18.006383
- Practice address
- 139 N Main St
West Hartford, CT 06107-1269 - Phone
- (860) 570-2300
- NPI assigned
- Nov 4, 2021
- Last updated
- Nov 4, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 18.006383 | CT | Primary |
Addresses
Primary practice location
139 N Main St
West Hartford, CT 06107-1269
Mailing address
139 N Main St
West Hartford, CT 06107-1269
Phone (860) 570-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18.006383 | CT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American School for the Deaf | Speech-Language Pathologist | Current | Accepting new patients |
| Early Childhood Service - American School for the Deaf | Current | Accepting new patients |
Locations
139 N Main St
West Hartford, CT 06107
Phone (860) 570-2300
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- West Hartford, CT
- NPI 1346210135
Speech-Language Pathologist
-
- Early Intervention Provider Agency
- West Hartford, CT
- NPI 1841337284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635984000000",
"number": "1700541760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 N MAIN ST",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061071269",
"telephone_number": "860-570-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 N MAIN ST",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061071269",
"telephone_number": "860-570-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMASCAK",
"first_name": "BENJAMIN",
"middle_name": "ALBERT",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-04",
"last_updated": "2021-11-04",
"certification_date": "2021-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "18.006383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Amneris Jenice Torres, LCSW
- Bianca Torres
- Torrington Otological Enterprises, LLC (dba Hearing Care Centers)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.