Paula Michele Bevilacqua, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

029901 Issued in CT

Practice address

677 S Main St
Cheshire, CT 06410-3158

Phone

(203) 250-7577

Fax

(203) 250-0739

NPI assigned

Jul 3, 2006

Last updated

Jul 25, 2007By the provider in NPPES

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

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1790715209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103158",
            "telephone_number": "203-250-7577",
            "fax_number": "203-250-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103158",
            "telephone_number": "203-250-7577",
            "fax_number": "203-250-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVILACQUA",
        "first_name": "PAULA",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "029901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Berez
• Alvin H Berkon, RPH
• Natalie Bernard, SPEECH THERAPY
• Best Care at Home Services LLC
• Jessica Bevacqua, ST
• BH Cheshire LLC
• Esha Bhardwaj, PMHNP-BC
• Ira Bhatnagar
• Nicole Biatowas, OT
• Chanon C Biceglia, DNP, PMHNP-BC, NP-C

• Dermatology Physician in Cheshire, CT
• Providers in Cheshire, CT by specialty
• Dermatology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.