Primary Care and Behavioral Health Services

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES

Practice address

2880 Old Dixwell Ave Ste 200
Hamden, CT 06518-3144

Phone

(203) 848-1803

NPI assigned

Jun 2, 2022

Organization subpart

No

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

Authorized official

Name

Margaret Chustecka, MD

Title

Managing Member

Phone

(203) 848-1803

Specialties & licenses 1

Addresses

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Margaret Chustecka Internal Medicine of Greater New Haven

  • Internal Medicine Physician
  • Hamden, CT
  • NPI 1053344473

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc Legris, M.D.

  • Internal Medicine Physician
  • Norwalk, CT
  • NPI 1114935723

  CT, Internal Medicine

  Medicare reassignment Care Compare group NPD
• Samuel Frimpong, MD, MPH

  • General Practice Physician
  • West Palm Beach, FL
  • NPI 1972919603

  CT, Internal Medicine

  Medicare reassignment Care Compare group NPD
• Margaret Chustecki, M.D.

  • Internal Medicine Physician
  • Hamden, CT
  • NPI 1215956321

  Internal Medicine

  NPD

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1821737313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 DIXWELL AVE",
            "address_2": "SUIT 200",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183128",
            "telephone_number": "203-848-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 OLD DIXWELL AVE STE 200",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183144",
            "telephone_number": "203-848-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "CHUSTECKA",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "203-848-1803",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Renee Preo, APRN
• Tyanna Lashawn Preston
• Michael Richard Pretlove
• Anthony Prezioso, D.M.D.
• Emily Price
• Priority Healthcare LLC
• Priority Healthcare, LLC
• Susanne G Prisco, MSPT
• Marisa Prokosch, OTR
• Prudence Homecare LLC

• All providers in Hamden, CT
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.