Individual provider Active NPI

Maria G Zmijewski, RPT

  • Specialist
  • Newington, CT
National Provider Identifier
1801095724
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
007931 Issued in CT
Practice address
256 New Britain Ave
Newington, CT 06111-4498
Phone
(860) 666-5689
Fax
(860) 667-0211
NPI assigned
Jul 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 007931 CT Primary

Addresses

Primary practice location

256 New Britain Ave
Newington, CT 06111-4498

Mailing address

256 New Britain Ave
Newington, CT 06111-4498
Phone (860) 666-5689

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

LicenseStateTypeSpecialty
007931CTMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1801095724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 NEW BRITAIN AVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061114498",
            "telephone_number": "860-666-5689",
            "fax_number": "860-667-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 NEW BRITAIN AVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061114498",
            "telephone_number": "860-666-5689",
            "fax_number": "860-667-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZMIJEWSKI",
        "first_name": "MARIA",
        "middle_name": "G",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "007931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.

Verify at the official NPI Registry.