Reem H Elazazy

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

5 Evans Dr
Simsbury, CT 06070-3011

Phone

(860) 490-0568

NPI assigned

Jul 1, 2020

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• 1271972 LLC

  • Urgent Care Clinic/Center
  • Wethersfield, CT
  • NPI 1316326002
  NPD

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1780201137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EVANS DR",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060703011",
            "telephone_number": "860-490-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EVANS DR",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060703011",
            "telephone_number": "860-490-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAZAZY",
        "first_name": "REEM",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ann Doyle, LCSW
• Dr Cappadona & Associates
• DRS Robbin Cappadona & Associates
• Eastern Rehabilitation Network
• Chijioke Nnanna Egbujo, MD
• Nuray Elevulu, PHARMD
• Dina W Eshak
• Essential Physical Therapy, LLC
• Ethel Walker School, Inc.
• Barbara Evans, PT

• All providers in Simsbury, CT
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.