| Impact Health Advanced Care PC | |
|
240 Indian River Rd Ste C7 Orange CT 06477-3691 | |
| (203) 497-3861 | |
| (203) 718-2381 |
| Full Name | Impact Health Advanced Care PC |
|---|---|
| Speciality | Family Medicine |
| Location | 240 Indian River Rd Ste C7, Orange, Connecticut |
| Authorized Official Name and Position | Michael Buxbaum (OWNER) |
| Authorized Official Contact | 8324435092 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Health Advanced Care PC 240 Indian River Rd Ste C7 Orange CT 06477-3691 | Impact Health Advanced Care PC 240 Indian River Rd Ste C7 Orange CT 06477-3691 Ph: (203) 497-3861 |
| NPI Number | 1528931011 |
|---|---|
| Provider Enumeration Date | 09/29/2025 |
| Last Update Date | 09/29/2025 |
| Certification Date | 09/29/2025 |
| Medicare PECOS PAC ID | 8325537863 |
|---|---|
| Medicare Enrollment ID | O20251027001588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528931011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (NU) | Primary |
| Provider Name | Naoise M Perrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023447281 PECOS PAC ID: 6507080199 Enrollment ID: I20140623001255 |
| Provider Name | Patricia H Gramuglia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922400712 PECOS PAC ID: 7012239981 Enrollment ID: I20141203001786 |
| Provider Name | Maureen Lore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225638950 PECOS PAC ID: 1456743756 Enrollment ID: I20220119000141 |
| Provider Name | Angela Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831842962 PECOS PAC ID: 5991190357 Enrollment ID: I20220322000292 |
| Provider Name | Michael Buxbaum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003920760 PECOS PAC ID: 4587620521 Enrollment ID: I20251027001736 |
| Provider Name | Jessica Kearney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669329983 PECOS PAC ID: 8123503828 Enrollment ID: I20260331002172 |
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