Pain Management Associates of Glastonbury LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

PAIN MANAGEMENT ASSOCIATES OF GLASTONBURY LLC

Practice address

394 W Center St
Manchester, CT 06040-4735

Phone

(860) 759-0060

Fax

(860) 633-6041

NPI assigned

Mar 26, 2013

Organization subpart

No

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

Authorized official

Name

Ewa Gaszek

Title

Credentialing Supervisor

Phone

(860) 282-4137

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1881936029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 FELDSPAR RDG",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333391",
            "telephone_number": "860-759-0060",
            "fax_number": "860-633-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 W CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404735",
            "telephone_number": "860-759-0060",
            "fax_number": "860-633-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT ASSOCIATES OF GLASTONBURY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "GASZEK",
        "authorized_official_first_name": "EWA",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "860-282-4137"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Pace
• Carolina Padilla, ND
• Victoria M Padilla
• Yolancia Pagdiwala
• Michael Paglione
• Agnieszka Z Pajor
• Andrea Marie Pajot
• Nicholas J. Palermo, D.O.
• Zachary Thomas Palmer
• Jessica L Palozie, NP

• Pain Medicine (Anesthesiology) Physician in Manchester, CT
• Providers in Manchester, CT by specialty
• Pain Medicine (Anesthesiology) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.