| First Choice Health Centers, Inc. | |
|
110 Connecticut Boulevard East Hartford CT 06108 | |
| (860) 610-6131 | |
| (860) 290-4142 |
| Full Name | First Choice Health Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 Connecticut Boulevard, East Hartford, Connecticut |
| Authorized Official Name and Position | Eugene A Market (CEO) |
| Authorized Official Contact | 8606106131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First Choice Health Centers, Inc. 94 Connecticut Blvd. East Hartford CT 06108 Ph: (860) 610-6131 | First Choice Health Centers, Inc. 110 Connecticut Boulevard East Hartford CT 06108 Ph: (860) 610-6131 |
| NPI Number | 1215923131 |
|---|---|
| Provider Enumeration Date | 09/26/2005 |
| Last Update Date | 02/07/2017 |
| Medicare PECOS PAC ID | 2769417609 |
|---|---|
| Medicare Enrollment ID | O20060127000447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215923131 | NPI | - | NPPES |
| 004236164 | Medicaid | CT | |
| 004236156 | Medicaid | CT |
| Provider Name | Jacqueline M Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972743490 PECOS PAC ID: 5395764708 Enrollment ID: I20051115000724 |
| Provider Name | Stacy J Spiro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588630974 PECOS PAC ID: 5991718447 Enrollment ID: I20060728000272 |
| Provider Name | Sherwin M Tucker |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1336156124 PECOS PAC ID: 9234138702 Enrollment ID: I20061211000263 |
| Provider Name | Michael A Naccarella |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124112370 PECOS PAC ID: 7113026592 Enrollment ID: I20070626000390 |
| Provider Name | Dmitry Aleks Drapach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669487542 PECOS PAC ID: 9032205331 Enrollment ID: I20071018000123 |
| Provider Name | Phuong Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053566505 PECOS PAC ID: 7315001120 Enrollment ID: I20090122000590 |
| Provider Name | Karl T Hartmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437122314 PECOS PAC ID: 9234271768 Enrollment ID: I20100122000027 |
| Provider Name | Teodoro Anderson Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952417081 PECOS PAC ID: 8729119045 Enrollment ID: I20100701000169 |
| Provider Name | Adam O Ham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669781019 PECOS PAC ID: 2365622701 Enrollment ID: I20110202000425 |
| Provider Name | Efrain Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952699902 PECOS PAC ID: 4688843550 Enrollment ID: I20110810000223 |
| Provider Name | Michael S Cooper |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073537874 PECOS PAC ID: 0042313553 Enrollment ID: I20110913000686 |
| Provider Name | Alena B Eastman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720288335 PECOS PAC ID: 9830363662 Enrollment ID: I20111114000249 |
| Provider Name | Alona Kantorovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780808949 PECOS PAC ID: 9739235961 Enrollment ID: I20140107000014 |
| Provider Name | Denise A Demers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013344308 PECOS PAC ID: 0042440521 Enrollment ID: I20140228001504 |
| Provider Name | Faisal Ijaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336573146 PECOS PAC ID: 1355564675 Enrollment ID: I20150320000405 |
| Provider Name | Michael A Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003209198 PECOS PAC ID: 9830418003 Enrollment ID: I20150511000757 |
| Provider Name | Vera Halbfass |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205885100 PECOS PAC ID: 9133100639 Enrollment ID: I20151201001724 |
| Provider Name | Jose Castiblanco |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356654529 PECOS PAC ID: 8527361112 Enrollment ID: I20160114000475 |
| Provider Name | Kristen H Goiangos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639543143 PECOS PAC ID: 7214230895 Enrollment ID: I20160115000394 |
| Provider Name | Edin Memisevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992160105 PECOS PAC ID: 7214232438 Enrollment ID: I20160226000306 |
| Provider Name | Cassandra Marcheggiani-howard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376942714 PECOS PAC ID: 1052616141 Enrollment ID: I20160229000033 |
| Provider Name | Towanna J Phillip |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336541960 PECOS PAC ID: 9032414149 Enrollment ID: I20160229000641 |
| Provider Name | Luz E. Valentin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043583735 PECOS PAC ID: 6002075660 Enrollment ID: I20160318000922 |
| Provider Name | Courtney Ackley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518340553 PECOS PAC ID: 3870883382 Enrollment ID: I20160610001479 |
| Provider Name | Liana R Tierney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700249877 PECOS PAC ID: 7618268244 Enrollment ID: I20160629000031 |
| Provider Name | Carole A Simons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669820510 PECOS PAC ID: 9335434588 Enrollment ID: I20160826000759 |
| Provider Name | Abby M Kelly |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669823910 PECOS PAC ID: 2860788403 Enrollment ID: I20160908001779 |
| Provider Name | Samantha C Tamulis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588013262 PECOS PAC ID: 9436446887 Enrollment ID: I20160928001634 |
| Provider Name | Jeevith I Kumaresan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437367521 PECOS PAC ID: 9739468372 Enrollment ID: I20161122001321 |
| Provider Name | Yojana Shahi |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306394754 PECOS PAC ID: 2466731013 Enrollment ID: I20161122001708 |
| Provider Name | Haimavathi Bhat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861625741 PECOS PAC ID: 3870745540 Enrollment ID: I20170424001083 |
| Provider Name | Mary B Shafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699290718 PECOS PAC ID: 2567738628 Enrollment ID: I20171018001073 |
| Provider Name | Christy R Yuen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689086787 PECOS PAC ID: 8628335080 Enrollment ID: I20171121000101 |
| Provider Name | Natesha Bestman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992220958 PECOS PAC ID: 9234498171 Enrollment ID: I20180122002223 |
| Provider Name | Amneris Jenice Torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144566597 PECOS PAC ID: 8921360025 Enrollment ID: I20180402000153 |
| Provider Name | Emily Poloji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922491349 PECOS PAC ID: 8729351564 Enrollment ID: I20180511001193 |
| Provider Name | Patricia M Hanley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497960728 PECOS PAC ID: 8123100286 Enrollment ID: I20180529000988 |
| Provider Name | Mary Patricia Daniels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407254733 PECOS PAC ID: 0345595468 Enrollment ID: I20180613002638 |
| Provider Name | Kate L. Melanson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457863086 PECOS PAC ID: 2062756968 Enrollment ID: I20181204001662 |
| Provider Name | Richard Burke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538459656 PECOS PAC ID: 9931342151 Enrollment ID: I20190212001575 |
| Provider Name | Emily Poloji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922491349 PECOS PAC ID: 8729351564 Enrollment ID: I20190218001236 |
| Provider Name | Tina Marie Gardner |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1629050281 PECOS PAC ID: 6406195932 Enrollment ID: I20190228000763 |
| Provider Name | Julie Ann Dillenbeck-juers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609271816 PECOS PAC ID: 3072821552 Enrollment ID: I20190425002433 |
| Provider Name | Daniel Melchor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528412251 PECOS PAC ID: 7517294861 Enrollment ID: I20190808001860 |
| Provider Name | Abigail C Cipriani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962853143 PECOS PAC ID: 8325390990 Enrollment ID: I20190808002217 |
| Provider Name | Hassan Loutfi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952756918 PECOS PAC ID: 1850620535 Enrollment ID: I20190905000775 |
| Provider Name | Konstantia Evangelia Papapateras |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043866809 PECOS PAC ID: 2567792674 Enrollment ID: I20191002001827 |
| Provider Name | Thomas Nicholas Shusterman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932558442 PECOS PAC ID: 7618208620 Enrollment ID: I20191004002751 |
| Provider Name | Juliana B Berenyi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598143356 PECOS PAC ID: 8022361526 Enrollment ID: I20191014001669 |
| Provider Name | Lorena Majko |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740620707 PECOS PAC ID: 1951641778 Enrollment ID: I20191018000564 |
| Provider Name | Nathalie Marie Mcconnell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184257701 PECOS PAC ID: 1951722941 Enrollment ID: I20200529000966 |
| Provider Name | Angelica Maria Furtado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740590553 PECOS PAC ID: 3779909809 Enrollment ID: I20200819002047 |
| Provider Name | Nicola Weise |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932668118 PECOS PAC ID: 7416384458 Enrollment ID: I20200901000444 |
| Provider Name | Nicole Broden |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891356606 PECOS PAC ID: 9234557455 Enrollment ID: I20200918002216 |
| Provider Name | Robert Wood Zavoski |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1023113941 PECOS PAC ID: 0345677704 Enrollment ID: I20200921000672 |
| Provider Name | Fabiana Aretusa Silva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649880444 PECOS PAC ID: 2860807070 Enrollment ID: I20210222001898 |
| Provider Name | Cassandra Lynn Manger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639786072 PECOS PAC ID: 2062816390 Enrollment ID: I20210810000300 |
| Provider Name | Shanaaz Shameen Mohammed |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1245426626 PECOS PAC ID: 9032362660 Enrollment ID: I20211014000300 |
| Provider Name | Christina Marie Bonnet |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245803519 PECOS PAC ID: 7517365976 Enrollment ID: I20211015000300 |
| Provider Name | Nancy Concepcion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063189124 PECOS PAC ID: 5193113447 Enrollment ID: I20211019002945 |
| Provider Name | Lisette Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396121687 PECOS PAC ID: 8729470091 Enrollment ID: I20220118001525 |
| Provider Name | Nakeema Norwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740920669 PECOS PAC ID: 7517344856 Enrollment ID: I20220506001486 |
| Provider Name | Eloise Maria Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689317166 PECOS PAC ID: 8224415567 Enrollment ID: I20220506001565 |
| Provider Name | Alison L. Meola |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588300073 PECOS PAC ID: 5597148601 Enrollment ID: I20220822002303 |
| Provider Name | Judith Burchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881321156 PECOS PAC ID: 1658796347 Enrollment ID: I20221005003064 |
| Provider Name | Demetrius Alexis Ruscito |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902479769 PECOS PAC ID: 1850767062 Enrollment ID: I20221013000077 |
| Provider Name | Jenna Tobin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437741535 PECOS PAC ID: 4082006218 Enrollment ID: I20221103001164 |
| Provider Name | Esther Shin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992458475 PECOS PAC ID: 8820482912 Enrollment ID: I20221205000927 |
| Provider Name | Sandeep Bhashyam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174767420 PECOS PAC ID: 3173772167 Enrollment ID: I20230515002693 |
| Provider Name | Lauren Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376253484 PECOS PAC ID: 4880043561 Enrollment ID: I20231206002010 |
| Provider Name | Lois Dwira |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093599540 PECOS PAC ID: 3870942014 Enrollment ID: I20231213000449 |
| Provider Name | Michelle Lynn Beverly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811690183 PECOS PAC ID: 0345509410 Enrollment ID: I20240110001825 |
Advanced Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 477 Connecticut Blvd, Suite 201, East Hartford, CT 06108 Phone: 860-289-4080 Fax: 860-289-5400 | |
Kasimer Kowalski Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 477 Connecticut Blvd Ste 106, East Hartford, CT 06108 Phone: 860-289-4848 Fax: 860-289-3798 | |
Amazing Smile Family Dentistery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 580 Burnside Ave, Suite# 6, East Hartford, CT 06108 Phone: 860-282-9000 Fax: 860-282-9005 | |
Advance Dental Clinic Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 477 Connecticut Blvd, East Hartford, CT 06108 Phone: 860-289-4080 | |
Ismile Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 765 Main St, East Hartford, CT 06108 Phone: 617-335-8334 Fax: 860-679-9389 | |
Michael K Hwang, Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1175 Main St, East Hartford, CT 06108 Phone: 860-528-3427 Fax: 860-528-4477 |