Natalia Gorodetskiy

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

170 Mount Pleasant Rd Ste 201
Newtown, CT 06470-1476

Phone

(203) 792-4151

NPI assigned

Jun 2, 2022

Sex

Female

Sole proprietor

No

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Associates of Western Connecticut, PCGroup PAC ID 6507804671, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.4 of 100Reported as group

Quality

97.76

Improvement activities

40

Cost

84.32

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: ngorodetskiy@directaddress.net

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.

• Dermatology Associates of Western Connecticut, PC

  • Procedural Dermatology Physician
  • Newtown, CT
  • NPI 1306851050
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1811636293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MOUNT PLEASANT RD STE 201",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701476",
            "telephone_number": "203-792-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MOUNT PLEASANT RD STE 201",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701476",
            "telephone_number": "203-792-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORODETSKIY",
        "first_name": "NATALIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Gilman, DDS
• Garrett Bernard Golisano, DDS
• Marisa Gonzalez, LMSW
• Delvyann Gordon, APRN
• Kathleen Gormley, OTR/L, CHT
• Kristen Grabarz, FNP
• Jonathan Todd Greenfield, M.D.
• Lisa Glynis Gregory, MS.ED
• Robert S Grossman
• Roseann Guglielmo, O.D.

• Physician Assistant in Newtown, CT
• Providers in Newtown, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.
• 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.