Individual provider Active NPI

Anne Massucco, MD

  • Obstetrics & Gynecology Physician
  • Hartford, CT
National Provider Identifier
1831292937
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
027586 Issued in CT
Practice address
19 Woodland St
Suite 31
Hartford, CT 06105-2372
Phone
(860) 728-1212
Fax
(860) 724-5224
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 027586 CT Primary

Addresses

Primary practice location

19 Woodland St
Suite 31
Hartford, CT 06105-2372

Mailing address

19 Woodland St
Suite 31
Hartford, CT 06105-2372
Phone (860) 728-1212

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090813000187 CT Practitioner - Obstetrics/Gynecology 9931253747 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc Obstetrics & Gynecology CurrentSince Jan 23, 2011 Accepting new patients
Physicians for Women'S Health LLC Obstetrics & Gynecology CurrentSince Jun 29, 1998 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Jan 23, 2011 Accepting new patients
Woodland Women'S Services, L.L.C. Past Accepting new patients

Locations

35 Nod Rd
Ste 203
Avon, CT 06001
Phone (860) 409-1540

22 Waterville Rd
Avon, CT 06001
Phone (860) 678-3461

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

31 Sycamore St
Ste 105
Glastonbury, CT 06033
Phone (860) 366-8550

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

19 Woodland St
Ste 31
Hartford, CT 06105
Phone (860) 714-4680

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831292937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WOODLAND ST",
            "address_2": "SUITE 31",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052372",
            "telephone_number": "860-728-1212",
            "fax_number": "860-724-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 WOODLAND ST",
            "address_2": "SUITE 31",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052372",
            "telephone_number": "860-728-1212",
            "fax_number": "860-724-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSUCCO",
        "first_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "027586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.