Collins Medical Associates 2 PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 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

Last updated

Feb 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Link

Title

Chief Financial Officer-Administrat

Phone

(860) 714-7362

Specialties & licenses 15

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 87

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yusra Anis-Anwar, MD

  • Internal Medicine Physician
  • South Windsor, CT
  • NPI 1992767826
  Medicare reassignment Care Compare group NPD
• Maria Annal, PA

  • Physician Assistant
  • Bloomfield, CT
  • NPI 1639261779
  Medicare reassignment Care Compare group NPD
• Bechara Barrak, MD

  • Internal Medicine Physician
  • Bloomfield, CT
  • NPI 1912928177
  Medicare reassignment Care Compare group NPD
• Shannon B. Beausoleil I, MD

  • Pediatrics Physician
  • West Hartford, CT
  • NPI 1942291653

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Mark Belsky, MD

  • Family Medicine Physician
  • Hartford, CT
  • NPI 1548284474
  Medicare reassignment Care Compare group NPD
• Robert Dariusz Bogacki, MD

  • Internal Medicine Physician
  • Rocky Hill, CT
  • NPI 1285642611
  Medicare reassignment Care Compare group NPD
• Shayna Beth Burke, M.D.

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • West Hartford, CT
  • NPI 1609078708

  Pediatrics

  Medicare reassignment Care Compare group NPD
• Daniel Callaghan, MD

  • Family Medicine Physician
  • Rocky Hill, CT
  • NPI 1124032941
  Medicare reassignment Care Compare group NPD
• Gary Cohen, MD

  • Internal Medicine Physician
  • Bloomfield, CT
  • NPI 1346264413
  Medicare reassignment Care Compare group NPD
• Peter C Collins, DNP

  • Family Nurse Practitioner
  • Enfield, CT
  • NPI 1811745219
  Medicare reassignment Care Compare group NPD
• Hannah Alina Dehertogh, A-GNP-C

  • Gerontology Nurse Practitioner
  • West Hartford, CT
  • NPI 1417681818
  Medicare reassignment Care Compare group NPD
• Erisa Gjinaj, DO

  • Family Medicine Physician
  • Bloomfield, CT
  • NPI 1881331452
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1912928169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 WOODLAND ST FL 1",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051230",
            "telephone_number": "860-714-7362",
            "fax_number": "860-714-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WOODLAND ST FL 1",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051230",
            "telephone_number": "860-714-7362",
            "fax_number": "860-714-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS MEDICAL ASSOCIATES 2 PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "LINK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER-ADMINISTRAT",
        "authorized_official_telephone_number": "860-714-7362"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "052095",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ileana Collazo
• Eric James Collentro, PA-C
• Bonnie A Colleton
• Lauren Elisabeth Collin, PA
• Collins Medical Associates 2 PC
• Abigail Collins
• Brendan Collins, RPH
• Irina Collins, PA
• Kevin Lamont Collins, DO
• Melanie Sue Collins, M.D.

• Internal Medicine Physician in Hartford, CT
• Providers in Hartford, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.