Collins Medical Associates 2 PC
Organization Active NPI Internal Medicine Physician · Hartford, CT
NPI 1912928169 · NPPES record last updated Feb 9, 2016
Key facts
- NPI
- 1912928169
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- COLLINS MEDICAL ASSOCIATES 2 PC
- Practice address
- 95 Woodland St FL 1
Hartford, CT 06105-1230 - Phone
- (860) 714-7362
- Fax
- (860) 714-8140
- NPI assigned
- Jul 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Susan Link
- Title
- Chief Financial Officer-Administrat
- Phone
- (860) 714-7362
Practitioners 86
-
Yusra Anis-Anwar, MD
-
Maria Annal, PA
-
Bechara Barrak, MD
-
Mark Belsky, MD
-
Shayna Beth Burke, M.D.
-
Daniel Callaghan, MD
-
Gary Cohen, MD
-
Peter C Collins, DNP
-
Hannah Alina Dehertogh, A-GNP-C
-
Erisa Gjinaj, DO
-
Anila Gjuzi, FNP-BC
-
Ingrid Grafals, MD
-
Harini Hosain, MD
-
James P. Kelly, APRN
-
Oksana Kloyzner, MD
-
Eric T Lao, MD
-
Bonnie Lender, PA
-
Irina Muni, MD
-
Barbara Padilla, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040216000064 | CT | Part B Supplier - Clinic/Group Practice | 3779486345 |
Receives reassigned benefits from 46 practitioners Practice locations: West Hartford, CT; South Windsor, CT; Rocky Hill, CT; Hartford, CT; Enfield, CT; Avon, CT; Bloomfield, CT |
National Provider Directory
Locations
705 Bloomfield Ave
Bloomfield, CT 06002
Phone (860) 243-8709
35 Jolley Dr
Ste 103
Bloomfield, CT 06002
Phone (860) 286-0041
35 Jolley Dr
Bloomfield, CT 06002
Phone (860) 242-1578
701 Cottage Grove Rd
Ste F130
Bloomfield, CT 06002
Phone (860) 242-4000
421 Cottage Grove Rd
Bloomfield, CT 06002
Phone (860) 242-0034
9 Cranbrook Blvd
Ste 202
Enfield, CT 06082
47 Palomba Dr
Ste 201
Enfield, CT 06082
Phone (860) 272-2930
1000 Asylum Ave
Ste 3201
Hartford, CT 06105
1000 Asylum Ave
Ste 3218
Hartford, CT 06105
Phone (860) 714-5415
2080 Silas Deane Hwy
Ste 301
Rocky Hill, CT 06067
Phone (860) 529-5507
506 Cromwell Ave
Ste 201
Rocky Hill, CT 06067
Phone (760) 728-6740
546 Cromwell Ave
Ste 100
Rocky Hill, CT 06067
Phone (860) 714-4355
2080 Silas Deane Hwy
Fl 3
Rocky Hill, CT 06067
Phone (860) 257-7448
216 Hemlock Ave
Ste 104
South Windsor, CT 06074
Phone (860) 697-6565
216 Hemlock Ave
South Windsor, CT 06074
Phone (860) 471-8030
41 N Main St
Ste 211
West Hartford, CT 06107
Phone (860) 236-0331
928 Farmington Ave
Ste 4
West Hartford, CT 06107
Phone (860) 233-6293
1162 New Britain Ave
West Hartford, CT 06110
Phone (860) 236-3084
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | Yes | ||
| Cardiovascular Disease Physician |
207RC0000X | 052095 | CT | |
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Orthopaedic Surgery Physician |
207X00000X | |||
| Sports Medicine (Orthopaedic Surgery) Physician |
207XX0005X | |||
| Pediatrics Physician |
208000000X | |||
| Pediatric Adolescent Medicine Physician |
2080A0000X | |||
| Pediatric Neurodevelopmental Disabilities Physician |
2080P0008X | |||
| Physician Assistant |
363A00000X | |||
| Surgical Physician Assistant |
363AS0400X | |||
| Nurse Practitioner |
363L00000X | |||
| Family Nurse Practitioner |
363LF0000X | |||
| Pediatric Nurse Practitioner |
363LP0200X | |||
| Obstetrics & Gynecology Nurse Practitioner |
363LX0001X |
Addresses
Primary practice location
95 Woodland St FL 1
Hartford, CT 06105-1230
Mailing address
95 Woodland St FL 1
Hartford, CT 06105-1230
Phone (860) 714-7362
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50COLLIN2CT01 | Other | CT | ANTHEM BLUE SHIELD |
| 004191607 | Medicaid | CT | |
| 004239043 | Medicaid | CT | |
| 004266187 | Medicaid | CT |
Other providers in Hartford, CT
- Ileana Collazo
- Eric James Collentro
- Bonnie A Colleton
- Lauren Elisabeth Collin
- Collins Medical Associates 2 PC
- Abigail Collins
- Irina Collins
- Kevin Lamont Collins
- Melanie Sue Collins
- Seth Whitney Collins
All providers in Hartford, CT · Internal Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.