Active NPI
David Lisi Celini, PA
- Physician Assistant
- Stratford, CT
National Provider Identifier
1932790557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5122
- Practice address
- 60 Watson Blvd
Stratford, CT 06615-7171 - Phone
- (203) 380-5945
- NPI assigned
- Jan 27, 2021
- Last updated
- Jan 27, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5122 | CT | Primary |
Addresses
Primary practice location
60 Watson Blvd
Stratford, CT 06615-7171
Mailing address
63 Belleview Dr
Derby, CT 06418-2304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5122 | CT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care P.a. | Current | Accepting new patients | |
| American Current Care PA | Current | Accepting new patients |
Locations
701 Main St
East Hartford, CT 06108
Phone (860) 289-5561
60 Watson Blvd
Stratford, CT 06615
Phone (203) 380-5945
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1851571608
CT
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1932790557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 BELLEVIEW DR",
"city": "DERBY",
"state": "CT",
"postal_code": "064182304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 WATSON BLVD",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066157171",
"telephone_number": "203-380-5945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CELINI",
"first_name": "DAVID",
"middle_name": "LISI",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-27",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "5122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stratford, CT
- Vincent Cavallaro, D.C.
- Erica Lynn Cavliere, MSN, APRN, FNP-C
- Javonna Cayo
- Morine Cebert, FNP-C.
- Krystal Cecilio, LCSW
- Centerwell Certified Healthcare Corp. (CenterWell Home Health)
- Elysia Marie Cerreta-Dial, AGNP
- Alexa Chalas
- Chamberlain Health Care Inc (Lord Chamberlain Manor)
- Adriana Chamberlain, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.