| Optimus Health Care Inc | |
| 
					471 Barnum Ave Bridgeport CT 06608-2409  | |
| (203) 576-3885 | |
| (203) 683-3620 | 
| Full Name | Optimus Health Care Inc | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 471 Barnum Ave, Bridgeport, Connecticut | 
| Authorized Official Name and Position | Ludwig Spinelli (CHIEF EXECUTIVE OFFICER) | 
| Authorized Official Contact | 2036963260 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Optimus Health Care Inc 982 E Main St Bridgeport CT 06608-1913 Ph: (203) 696-3260  | Optimus Health Care Inc 471 Barnum Ave Bridgeport CT 06608-2409 Ph: (203) 576-3885  | 
| NPI Number | 1669445946 | 
|---|---|
| Provider Enumeration Date | 02/08/2006 | 
| Last Update Date | 04/21/2016 | 
| Medicare PECOS PAC ID | 9335051580 | 
|---|---|
| Medicare Enrollment ID | O20031105000254 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669445946 | NPI | - | NPPES | 
| C00383 | Other | CT | MEDICARE PART B | 
| 004234788 | Medicaid | CT | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 0073 (Connecticut) | Primary | 
| Provider Name | Naureen Zafar | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1225178932 PECOS PAC ID: 5991607848 Enrollment ID: I20040122000456  | 
| Provider Name | Enenge Abodjedi | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1952310666 PECOS PAC ID: 1254222110 Enrollment ID: I20040322001087  | 
| Provider Name | Sudha Sreenivasan | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1942367800 PECOS PAC ID: 7012998974 Enrollment ID: I20040526001121  | 
| Provider Name | Karana M Pierre | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1831194042 PECOS PAC ID: 5496715781 Enrollment ID: I20041012000659  | 
| Provider Name | Patricia Marciano | 
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) | 
| Provider Identifiers | NPI Number: 1245321025 PECOS PAC ID: 0244290849 Enrollment ID: I20041018001009  | 
| Provider Name | Manuel J Rosales | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1346348513 PECOS PAC ID: 5496718694 Enrollment ID: I20041109000454  | 
| Provider Name | Forugh F Homayounrooz | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1346276912 PECOS PAC ID: 8123083755 Enrollment ID: I20041123000668  | 
| Provider Name | Shireen Donaldson-ramos | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1275535346 PECOS PAC ID: 5698790566 Enrollment ID: I20051010000811  | 
| Provider Name | Susan R Glasman | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1811906530 PECOS PAC ID: 2567471519 Enrollment ID: I20060419000404  | 
| Provider Name | Anne Alexander Brewer | 
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care | 
| Provider Identifiers | NPI Number: 1932118577 PECOS PAC ID: 3173629128 Enrollment ID: I20070508000237  | 
| Provider Name | Joseph V Connelly | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1346261120 PECOS PAC ID: 6901907872 Enrollment ID: I20070721000063  | 
| Provider Name | Luis Rojas | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1487785838 PECOS PAC ID: 1850489287 Enrollment ID: I20071117000126  | 
| Provider Name | Andrea J Adimando | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1801936448 PECOS PAC ID: 9638252315 Enrollment ID: I20080219000414  | 
| Provider Name | Mary D Reilly | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1275542482 PECOS PAC ID: 6002985298 Enrollment ID: I20080514000148  | 
| Provider Name | Stephanie L Wilborne | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1366419251 PECOS PAC ID: 6406926856 Enrollment ID: I20080528000511  | 
| Provider Name | Kenneth R Graham | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1245396266 PECOS PAC ID: 6103993050 Enrollment ID: I20080918000701  | 
| Provider Name | Carissa A Tufano | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1760639819 PECOS PAC ID: 1850452087 Enrollment ID: I20081206000101  | 
| Provider Name | Kirsten B Hohmann | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1912017989 PECOS PAC ID: 6507877586 Enrollment ID: I20081206000103  | 
| Provider Name | Rebecca B Newman | 
|---|---|
| Provider Type | Practitioner - Hospitalist | 
| Provider Identifiers | NPI Number: 1548481740 PECOS PAC ID: 5395807812 Enrollment ID: I20081217000494  | 
| Provider Name | Monika Kaul | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1154569200 PECOS PAC ID: 6901958214 Enrollment ID: I20090717000280  | 
| Provider Name | Ann M Asunto | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1073747788 PECOS PAC ID: 7618022401 Enrollment ID: I20090831000374  | 
| Provider Name | Vasundara Tummala | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1659604528 PECOS PAC ID: 5698821908 Enrollment ID: I20090928000484  | 
| Provider Name | Patricia V Blanc | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1982837233 PECOS PAC ID: 9032256342 Enrollment ID: I20091019000582  | 
| Provider Name | Raymond Stewart | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1891794848 PECOS PAC ID: 2668500075 Enrollment ID: I20100505000730  | 
| Provider Name | Iveliz Oramas | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1407178882 PECOS PAC ID: 4789712837 Enrollment ID: I20100511000169  | 
| Provider Name | Norman Weinberger | 
|---|---|
| Provider Type | Practitioner - Pediatric Medicine | 
| Provider Identifiers | NPI Number: 1659585313 PECOS PAC ID: 4082742994 Enrollment ID: I20100514000049  | 
| Provider Name | Karin Michels Ashwood | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1922072644 PECOS PAC ID: 3476683004 Enrollment ID: I20100609000050  | 
| Provider Name | Douglas P Olson | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1972788792 PECOS PAC ID: 3476685538 Enrollment ID: I20100726000177  | 
| Provider Name | Debra Adler-klein | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1245278886 PECOS PAC ID: 4183725922 Enrollment ID: I20100819001215  | 
| Provider Name | David John Lobo | 
|---|---|
| Provider Type | Practitioner - Infectious Disease | 
| Provider Identifiers | NPI Number: 1811968258 PECOS PAC ID: 4385760206 Enrollment ID: I20100929000277  | 
| Provider Name | Deborah L Pinto | 
|---|---|
| Provider Type | Practitioner - Hospitalist | 
| Provider Identifiers | NPI Number: 1629233036 PECOS PAC ID: 3779776794 Enrollment ID: I20101022000826  | 
| Provider Name | Vicente A Diaz | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1114190154 PECOS PAC ID: 5092851188 Enrollment ID: I20101130000349  | 
| Provider Name | Ellen Villasenor | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1538225107 PECOS PAC ID: 4587610738 Enrollment ID: I20110409000016  | 
| Provider Name | Esther M Mervil | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1023397510 PECOS PAC ID: 2567632144 Enrollment ID: I20110909002683  | 
| Provider Name | Michelle L Smith | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1780965525 PECOS PAC ID: 6800068636 Enrollment ID: I20111020000214  | 
| Provider Name | Cheryl H Cottrol | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1417091356 PECOS PAC ID: 8729171947 Enrollment ID: I20111114000208  | 
| Provider Name | Rebecca Kaplan | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1275899346 PECOS PAC ID: 4082877477 Enrollment ID: I20120522001290  | 
| Provider Name | Barry I Kerner | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1205059417 PECOS PAC ID: 7719146554 Enrollment ID: I20120524000416  | 
| Provider Name | Manal Anz | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1285946426 PECOS PAC ID: 6406005115 Enrollment ID: I20121012000105  | 
| Provider Name | Susan Fullerton | 
|---|---|
| Provider Type | Practitioner - Pediatric Medicine | 
| Provider Identifiers | NPI Number: 1811168032 PECOS PAC ID: 6901056605 Enrollment ID: I20121015000281  | 
| Provider Name | Randolph Ramirez | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1629178843 PECOS PAC ID: 7517118748 Enrollment ID: I20121115000195  | 
| Provider Name | Lori Pelosi | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1649521352 PECOS PAC ID: 2668624578 Enrollment ID: I20121128000425  | 
| Provider Name | Joanna R Fernandez | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1053675033 PECOS PAC ID: 0840444584 Enrollment ID: I20130206000201  | 
| Provider Name | Luz E Omondi | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1912141136 PECOS PAC ID: 7719129113 Enrollment ID: I20130814000949  | 
| Provider Name | Matthew Nwosu | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1073776563 PECOS PAC ID: 1456588037 Enrollment ID: I20131206000810  | 
| Provider Name | Marcelyn C Molloy | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1053301358 PECOS PAC ID: 0143459321 Enrollment ID: I20140211000374  | 
| Provider Name | Deena R Ebright | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1346202371 PECOS PAC ID: 6002901998 Enrollment ID: I20140307000976  | 
| Provider Name | Maribeth M Milne | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1689096588 PECOS PAC ID: 7719100486 Enrollment ID: I20140527001496  | 
| Provider Name | Shefali Ram Pathy | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1376682245 PECOS PAC ID: 3678796075 Enrollment ID: I20140603000271  | 
| Provider Name | Elena D Dragoi | 
|---|---|
| Provider Type | Practitioner - Pediatric Medicine | 
| Provider Identifiers | NPI Number: 1003962739 PECOS PAC ID: 3274755178 Enrollment ID: I20141110000281  | 
| Provider Name | Kelly Bucci-didomenico | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1568795094 PECOS PAC ID: 0941522510 Enrollment ID: I20141210000532  | 
| Provider Name | Nicole Abramowitz | 
|---|---|
| Provider Type | Practitioner - Pediatric Medicine | 
| Provider Identifiers | NPI Number: 1245243922 PECOS PAC ID: 3072837525 Enrollment ID: I20150112000530  | 
| Provider Name | Sadee T Forde-cuffie | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1104177971 PECOS PAC ID: 1254568942 Enrollment ID: I20150408000659  | 
| Provider Name | Renee C Casey | 
|---|---|
| Provider Type | Practitioner - Pediatric Medicine | 
| Provider Identifiers | NPI Number: 1376734343 PECOS PAC ID: 4284952847 Enrollment ID: I20150410000062  | 
| Provider Name | Letitia Coleman | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1437582863 PECOS PAC ID: 4789996471 Enrollment ID: I20150709000858  | 
| Provider Name | Danielle Moraes | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1922420330 PECOS PAC ID: 3678889508 Enrollment ID: I20150908002495  | 
| Provider Name | Setul R Pardanani | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1851471338 PECOS PAC ID: 9739071499 Enrollment ID: I20151201000077  | 
| Provider Name | Catherine T Ford | 
|---|---|
| Provider Type | Practitioner - Pediatric Medicine | 
| Provider Identifiers | NPI Number: 1386642932 PECOS PAC ID: 4082913538 Enrollment ID: I20160504001702  | 
| Provider Name | Meghan Carter | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1447405824 PECOS PAC ID: 7113218694 Enrollment ID: I20160614002275  | 
| Provider Name | Yoberki Reyes | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1629454780 PECOS PAC ID: 1052603222 Enrollment ID: I20160708000017  | 
| Provider Name | Rosie Laurent | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1295180107 PECOS PAC ID: 3476845231 Enrollment ID: I20160714001724  | 
| Provider Name | Geovanna Fiallos | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1255717534 PECOS PAC ID: 2769789445 Enrollment ID: I20161128000526  | 
| Provider Name | Helen Collins | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1700158441 PECOS PAC ID: 4284913740 Enrollment ID: I20161128001702  | 
| Provider Name | Debra Gerson | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1912069063 PECOS PAC ID: 4385639731 Enrollment ID: I20161212001822  | 
| Provider Name | Claudette M Thyme | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1457731812 PECOS PAC ID: 5092096537 Enrollment ID: I20161221001643  | 
| Provider Name | Valli K Ganti | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1508939067 PECOS PAC ID: 0547261109 Enrollment ID: I20170330000755  | 
| Provider Name | Kettly Cassamajor | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1235660267 PECOS PAC ID: 9638455827 Enrollment ID: I20170425001440  | 
| Provider Name | Robert E O'sullivan | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1053751271 PECOS PAC ID: 5496024655 Enrollment ID: I20170630001374  | 
| Provider Name | Suelen Deoliveira | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1881140465 PECOS PAC ID: 2264710433 Enrollment ID: I20170919001449  | 
| Provider Name | Shelly Chandler | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1629055736 PECOS PAC ID: 2466441175 Enrollment ID: I20180403001432  | 
| Provider Name | Jenifer Schmitz | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1497283295 PECOS PAC ID: 5395018246 Enrollment ID: I20180426002432  | 
| Provider Name | Shel Swanson | 
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) | 
| Provider Identifiers | NPI Number: 1174970925 PECOS PAC ID: 9931464971 Enrollment ID: I20180523000260  | 
| Provider Name | Dhaval S Desai | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1881033215 PECOS PAC ID: 4587941265 Enrollment ID: I20181120000492  | 
| Provider Name | Nicholas Henry Fiebach | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1679669675 PECOS PAC ID: 8325947674 Enrollment ID: I20190125002659  | 
| Provider Name | Keisha Clayton-fearon | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1891240776 PECOS PAC ID: 7517205446 Enrollment ID: I20190219000396  | 
| Provider Name | Erin Jackson | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1083171995 PECOS PAC ID: 0446591028 Enrollment ID: I20190409000148  | 
| Provider Name | Liza Halper | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1063987808 PECOS PAC ID: 3870834906 Enrollment ID: I20190417002768  | 
| Provider Name | Katherine A Golar | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1376608364 PECOS PAC ID: 9537309570 Enrollment ID: I20190502000672  | 
| Provider Name | Theresa Villani | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1346410511 PECOS PAC ID: 1153491790 Enrollment ID: I20190618002515  | 
| Provider Name | Theresa Djama | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1265828818 PECOS PAC ID: 1557607488 Enrollment ID: I20190910001164  | 
| Provider Name | Jessica Dinisco | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1629408596 PECOS PAC ID: 0941518450 Enrollment ID: I20190920000934  | 
| Provider Name | Robert S Goldsmith | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1972686277 PECOS PAC ID: 8527398247 Enrollment ID: I20190924000553  | 
| Provider Name | Jacqueline Gordon-hopwood | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1669026126 PECOS PAC ID: 6305177528 Enrollment ID: I20191018001371  | 
| Provider Name | Cassandra Aamodt | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1801355219 PECOS PAC ID: 6507291333 Enrollment ID: I20200123003151  | 
| Provider Name | Gustavo D Herrera-brito | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1447898861 PECOS PAC ID: 0446687222 Enrollment ID: I20200218001581  | 
| Provider Name | Patricia M Sliwinski | 
|---|---|
| Provider Type | Practitioner - Pediatric Medicine | 
| Provider Identifiers | NPI Number: 1609293570 PECOS PAC ID: 2860763331 Enrollment ID: I20200327002862  | 
| Provider Name | Sara M Franco | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1437700564 PECOS PAC ID: 3971933052 Enrollment ID: I20200414002399  | 
| Provider Name | Shilpi Jain Aggarwal | 
|---|---|
| Provider Type | Practitioner - Hospitalist | 
| Provider Identifiers | NPI Number: 1992067367 PECOS PAC ID: 9436466851 Enrollment ID: I20200430002109  | 
| Provider Name | Brianna Robinson | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1003313339 PECOS PAC ID: 7012327216 Enrollment ID: I20201029000158  | 
| Provider Name | Keitra Thompson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1063942555 PECOS PAC ID: 8527332022 Enrollment ID: I20201211000219  | 
| Provider Name | Victoria Simeone | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1356827463 PECOS PAC ID: 3971918848 Enrollment ID: I20210227000053  | 
| Provider Name | Lisamarie Indovina | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1568051043 PECOS PAC ID: 6406262971 Enrollment ID: I20210308001744  | 
| Provider Name | Angela Avery | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1588272744 PECOS PAC ID: 8729497425 Enrollment ID: I20210510002647  | 
| Provider Name | Carolyn Heins | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1447604202 PECOS PAC ID: 2163757568 Enrollment ID: I20210617000196  | 
| Provider Name | Majdi Taher | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1346281193 PECOS PAC ID: 1951389279 Enrollment ID: I20210708002230  | 
| Provider Name | Tammie C Carey | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1205398286 PECOS PAC ID: 6002140407 Enrollment ID: I20210812002352  | 
| Provider Name | Angela Pereira | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1285796805 PECOS PAC ID: 3375553555 Enrollment ID: I20210901002357  | 
| Provider Name | Cristina M Mallozzi | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1700312451 PECOS PAC ID: 4981972122 Enrollment ID: I20210902002338  | 
| Provider Name | Maria Del Mar Mazza | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1912524521 PECOS PAC ID: 8820495682 Enrollment ID: I20210921001652  | 
| Provider Name | Tara Lynn Ryan-dedominicis | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1164192001 PECOS PAC ID: 4880092501 Enrollment ID: I20211011002994  | 
| Provider Name | Noshaba Shahid | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1285126789 PECOS PAC ID: 7911381850 Enrollment ID: I20220826001245  | 
| Provider Name | Kerry Milner | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1669109419 PECOS PAC ID: 0941677249 Enrollment ID: I20221028002294  | 
| Provider Name | Luciana Vieira | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1326339177 PECOS PAC ID: 9931458288 Enrollment ID: I20230504002255  | 
| Provider Name | Ashley A Telesco | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1134821051 PECOS PAC ID: 1850756263 Enrollment ID: I20230508000585  | 
| Provider Name | Jeffrey Mazique | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1902905300 PECOS PAC ID: 5193893279 Enrollment ID: I20230614003517  | 
| Provider Name | Katherine Vaillancourt | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1770112260 PECOS PAC ID: 8729441423 Enrollment ID: I20230829001043  | 
| Provider Name | Carmen M Calder | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1326018367 PECOS PAC ID: 7214962133 Enrollment ID: I20231017000519  | 
| Provider Name | Fikreta Cirikovic | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1932835634 PECOS PAC ID: 1759738651 Enrollment ID: I20231115000894  | 
| Provider Name | Nicolas Palacios Meza | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1518245638 PECOS PAC ID: 5597986240 Enrollment ID: I20240129003339  | 
| Provider Name | Erika Michelle Mckenzie | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1578298923 PECOS PAC ID: 0042662140 Enrollment ID: I20240131000403  | 
| Provider Name | Metehan Imamoglu | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1962066993 PECOS PAC ID: 2264768076 Enrollment ID: I20240214002112  | 
| Provider Name | Julian Vallon | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1235692591 PECOS PAC ID: 2365886686 Enrollment ID: I20240214003531  | 
| Provider Name | Jonathan D Rosa | 
|---|---|
| Provider Type | Practitioner - Chiropractic | 
| Provider Identifiers | NPI Number: 1609208164 PECOS PAC ID: 6800233677 Enrollment ID: I20240328002308  | 
| Provider Name | Robert S Mcknight | 
|---|---|
| Provider Type | Practitioner - Chiropractic | 
| Provider Identifiers | NPI Number: 1508876533 PECOS PAC ID: 5799874889 Enrollment ID: I20240404003664  | 
| Provider Name | Krystal C Cecilio | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1184465288 PECOS PAC ID: 2860937331 Enrollment ID: I20240709004579  | 
| Provider Name | Trisha Miller | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1437699063 PECOS PAC ID: 3072058973 Enrollment ID: I20240716002098  | 
| Provider Name | Thomas Busch | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1891374278 PECOS PAC ID: 5698214518 Enrollment ID: I20240823000460  | 
| Provider Name | Rebecca Bolmer | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1588379804 PECOS PAC ID: 1153853833 Enrollment ID: I20241018002963  | 
| Provider Name | Raquel O Campbell | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1093020232 PECOS PAC ID: 0547792087 Enrollment ID: I20241022002111  | 
| Provider Name | Bianca Guy | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1518789700 PECOS PAC ID: 0547796088 Enrollment ID: I20241209000586  | 
| Provider Name | Ashley L Orellana | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1457087942 PECOS PAC ID: 8123556107 Enrollment ID: I20250106000783  | 
| Provider Name | Anny Michel Sigaran Aguasvivas | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1992482954 PECOS PAC ID: 4981042603 Enrollment ID: I20250123000089  | 
Clinisanitas, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4543 Main St, Bridgeport, CT 06606 Phone: 305-921-7621 Fax: 305-921-7355  | |
Primed Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4699 Main St, Suite 105 Attn: Med3000, Bridgeport, CT 06606 Phone: 203-944-1940 Fax: 203-402-4196  | |
Qmg4, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4200 Main Street, Bridgeport, CT 06606 Phone: 203-916-5151 Fax: 203-916-5155  | |
Wellington Provider Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Lafayette Blvd Ste 1100, Bridgeport, CT 06604 Phone: 859-518-8817 Fax: 859-201-1084  | |
Fairfield Clinical Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 978 E Main St, Bridgeport, CT 06608 Phone: 203-549-1872  | |
Bridgeport Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000  | |
Optimus Health Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 790 Central Ave, Bridgeport, CT 06607 Phone: 203-332-4567 Fax: 203-332-0376  |