| Ruchi Kapoor, PA | |
|
1817 Black Rock Tpke Ste 206, Fairfield, CT 06825-3546 | |
| (203) 337-5333 | |
| Not Available |
| Full Name | Ruchi Kapoor |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 1817 Black Rock Tpke Ste 206, Fairfield, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780617928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 011345 (New York) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 5196 (Connecticut) | Primary |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Ruchi Kapoor, PA 1817 Black Rock Tpke Ste 206, Fairfield, CT 06825-3546 Ph: (203) 337-5333 | Ruchi Kapoor, PA 1817 Black Rock Tpke Ste 206, Fairfield, CT 06825-3546 Ph: (203) 337-5333 |
Nikita Shadani, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5151 Park Ave, Fairfield, CT 06825 Phone: 203-371-7999 |
Samantha Kennedy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5151 Park Ave, Masters Of Physician Assistant Studies Program, Fairfield, CT 06825 Phone: 203-989-9237 |
Mr. Daniel George Stewart, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 425 Post Rd, Fairfield, CT 06824 Phone: 203-292-9000 |
Skylar Krystina Robinson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 425 Post Rd, Fairfield, CT 06824 Phone: 203-259-7442 |
Miss Emily Knowlton, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2000 Post Rd Ste 202, Fairfield, CT 06824 Phone: 203-254-9454 Fax: 203-254-0152 |
Fiore F Soviero, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 305 Black Rock Tpke, Orthopaedic Specialty Group, Fairfield, CT 06825 Phone: 203-337-2600 Fax: 203-337-2666 |
Brian Clancy, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 425 Post Rd, Fairfield, CT 06824 Phone: 203-292-9000 |