Eileen C. Comia, MD, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EILEEN C. COMIA, MD, LLC

Practice address

35 Jolley Dr
Suite 102
Bloomfield, CT 06002-3062

Phone

(860) 242-2200

Fax

(860) 242-2212

NPI assigned

Jan 24, 2007

Last updated

Apr 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eileen Cruz Comia, MDNPI 1235233313

Title

Owner

Phone

(860) 242-2200

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eileen C Comia, MD

  • Internal Medicine Physician
  • Bloomfield, CT
  • NPI 1235233313
  Medicare reassignment NPD Authorized official
• Michele A Marek, APRN

  • Family Nurse Practitioner
  • West Hartford, CT
  • NPI 1144324229
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1801941513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 JOLLEY DR",
            "address_2": "SUITE 102",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023062",
            "telephone_number": "860-242-2200",
            "fax_number": "860-242-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 JOLLEY DR",
            "address_2": "SUITE 102",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023062",
            "telephone_number": "860-242-2200",
            "fax_number": "860-242-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EILEEN C. COMIA, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "COMIA",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "CRUZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-242-2200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "001184",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001359050",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "010035905CT06",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C03656",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.