Individual provider Active NPI

Lindsey Roncaioli, P.A

  • Medical Physician Assistant
  • Glastonbury, CT
National Provider Identifier
1962743872
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA4655 Issued in MA
Practice address
320 Western Blvd
Suite 104
Glastonbury, CT 06033-1259
Phone
(860) 657-5940
NPI assigned
Mar 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 003422 CT
Medical Physician Assistant 363AM0700X PA4655 MA Primary

Addresses

Primary practice location

320 Western Blvd
Suite 104
Glastonbury, CT 06033-1259

Mailing address

3 Daniel St
East Hampton, CT 06424-1806
Phone (860) 748-7312

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151116001700 CT Practitioner - Physician Assistant 2961640701 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MHS Primary Care, Inc.Group PAC ID 4082507371, 180 clinicians

Practice addresses (Care Compare)

14 Jones Hollow Rd
Suite 2
Marlborough, CT 06447-1448
Phone (860) 358-2850

28 Crescent St
Middletown, CT 06457-3654

Hospital & facility affiliations

  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
003422CTMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
The William W Backus Hospital CurrentSince Feb 21, 2017 Accepting new patients
MHS Primary Care Inc. Physician Assistant CurrentSince Mar 1, 2021 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC Physician Assistant CurrentSince Feb 14, 2025 Accepting new patients
William W Backus Hospital CurrentSince Feb 21, 2017 Accepting new patients
MHS Primary Care Inc Physician Assistant CurrentSince Mar 1, 2021 Accepting new patients
Lswhb LLC PastSince Jan 1, 2022 Accepting new patients
MHS Primary Care, Inc Physician Assistant Past Accepting new patients

Locations

6 Greenwich Office Park
Greenwich, CT 06831
Phone (203) 869-1145

14 Jones Hollow Rd
Ste 2
Marlborough, CT 06447

420 Saybrook Rd
Middletown, CT 06457
Phone (860) 347-4258

540 Saybrook Rd
Ste 100B
Middletown, CT 06457
Phone (860) 347-6683

540 Saybrook Rd
Ste 100A
Middletown, CT 06457
Phone (860) 347-9377

430 Saybrook Rd
Middletown, CT 06457
Phone (860) 638-3820

512 Saybrook Rd
Ste 100
Middletown, CT 06457
Phone (860) 704-6021

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

505 Willard Ave
Ste C
Newington, CT 06111
Phone (860) 223-8553

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1962743872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DANIEL ST",
            "city": "EAST HAMPTON",
            "state": "CT",
            "postal_code": "064241806",
            "telephone_number": "860-748-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WESTERN BLVD",
            "address_2": "SUITE 104",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331259",
            "telephone_number": "860-657-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONCAIOLI",
        "first_name": "LINDSEY",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-04",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "003422",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA4655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.