Wazida Tabassum, DC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

001764 Issued in CT

Practice address

11 South Rd Ste LL-10
Farmington, CT 06032-2483

Phone

(860) 404-2189

Fax

(860) 404-2213

NPI assigned

Jun 17, 2008

Last updated

Sep 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• East Hartford Medical Center Inc

  • Pediatrics Physician
  • East Hartford, CT
  • NPI 1942274113

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1811157431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 BUCKLAND HILLS DR",
            "address_2": "APT 11232",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060428704",
            "telephone_number": "203-209-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SOUTH RD STE LL-10",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322483",
            "telephone_number": "860-404-2189",
            "fax_number": "860-404-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABASSUM",
        "first_name": "WAZIDA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CT",
            "license": "001764",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "18344",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Swift, MSN, APRN, FNP-BC
• Beenish A Syed, M.D.
• Usheem Syed, MD
• Mark Synol, RPH
• Tyler Szymanski Bly
• Satyashankara Aditya Tadinada, D.D.S, M.D.S
• Micheal Samy Tadros, M.D.
• Sonam Talreja
• Lisa Michelle Tamburini, MD
• Jessica Tan, DMD

• Rehabilitation Chiropractor in Farmington, CT
• Providers in Farmington, CT by specialty
• Rehabilitation Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.