1. Healthcare

OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
1962741348
1851591820
1770901456
1235330283
1720194764
1235114026
1164407540
1457371379
1265428569
1992789416
1477748341
1508865585
1427489657
1346571767
1386631745
1508894676
1689877037
1447326871
1609974047
1023216280
1023055506
1639245848
1730219403
1639211931
1558467266
1073709259
1871767657
1891128146
1568445435
1902839871
1427171263
1346361284
1215149752
1215230248
1366469728
1174536114
1003934282
1144211905
1285938118
1548423577
1497870273
1568496685
1215124698
1497923296
1801891858
1285736124
1255354049
1518210558
1295736833
1336201300
1972700987
Last Name
ABBOTT
ABDALLAH
ABEN
ABIKOFF
ABRAMSON
ABRAMSON
ABU RUSTUM
ACCACHA
ADAIR
ADAMS
ADAMS
ADE
ADELAIYE
ADLER
ADLER
ADLER
ADUSUMILLI
AGGARWAL
AGOSTIN
AGUIRE
AHMADIAN
AHMED
AHMED
AHUJA
AJJAGOTTU
AKANDE
ALAVI
ALBANO
ALBRECHT
ALDER
ALEXANDER
ALEXANDER
ALEXANDER
ALFONSI
ALHABBAL
ALLADIN
ALLEN
ALLEN
ALLEN
ALLEN
ALLIGER
ALLONGO
ALOSCO
ALPIN
ALSHANSKY
ALTBAUM
ALTEKRUSE
ALTIERI
ALTMAN
ALTORELLI
ALTSHUL
First Name
ALLISON
CHADI
ELEANOR
CORIE
ANNEMARIE
DAVID
NADEEM
SIHAM
DARIN
MILTON
SARAH
JUDE
ADEBOLA
AARON
ARLENE
MARY
PRASAD
AMITA
DOMINICK
ESTHER
FERESHTEH
BATUL
IRSHAD
AJAY
VIJAYA
OLUKEMI
SARA
VICTORIA
RICHARD
WILLIAM
GERALD
ROBERT
TERRY
AMBROSE
MOHAMMAD
IRFAN
CHRISTOPHER
PETER
RACHEL
SHAWN
JASON
JOSE
THOMAS
JULIA
ANNA
ROBERT
PHILLIP
SARA
ROBIN
ALPHONSE
VICTOR
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 1
1 RIVER STREET
34 PARK STREET
28 WELLS STREET
CHILDREN''S & WOMENS PHYSICIAN
3600 EAST MAIN ST.
1275 YORK AVE
1275 YORK AVE
120 MINEOLA BOULEVARD
BREWSTER RD
5300 KIDSPEACE DRIVE
500 CHASE PARKWAY
263 FARMINGTON AVENUE
1 RIVER STREET
BREWSTER RD
CHILDREN''S & WOMENS PHYSICIAN
701 ENFIELD STREET
1275 YORK AVE
322 MAIN ST
15 OLD RIDGEFIELD ROAD
75 SEMINARY HILL RD.
111 BEACH ROAD
CAPITOL REGION MH CENTER
CAPITOL REGION MH CENTER
825 HIGH RIDGE RD
555 WILLARD AVE
20 YORK STREET, CB-2041
20 YORK STREET, CB-2041
300 LONGWOOD AVENUE
324 FLANDERS RD
660 PROSPECT AVENUE
129 YORK ST.
928 FARMINGTON AVENUE
800 CROSS RIVER ROAD
61 GLENN DRIVE
200 LINCOLN ST
12 CASE ST. SUITE 210
95 HARBOR RD SUITE 955
1275 YORK AVE
1 RIVER STREET
200 RETREAT AVENUE
1389 WEST MAIN ST
13005 SOUTHERN BLVD.
1336 WEST MAIN STREET
455 TOLLGATE ROAD
225 VETERANS ROAD
162 KINGS HIGHWAY NORTH
664 STEVENS ROAD
199 WHITNEY AVE
CHILDREN'S & WOMAN'S PHYSICI
125 NEW MILFORD TURNPIKE
400 PROSPECT STREET
Service Address Line 2
THUNDERMIST HEALTH CENTER
19 BRADHURST AVE. SUITE 1400
SUITE 210
EMERGENCY MEDICINE
THUNDERMIST HEALTH CENTER
19 BRADHURST AVE., STE.1400
3RD FLOOR
500 VINE STREET
500 VINE STREET
CROWN COURT
THUNDERMIST HEALTH CENTER
SUITE 208
SUITE 241
SUITE 1A
MOUNT KISCO MEDICAL GROUP PC
FIRST FLOOR
19 BRADHURST AVE. STE 2400
Page 1 of 54
City
WAKEFIELD
NEW HAVEN
WESTERLY
HAWTHORNE
WATERBURY
NEW YORK
NEW YORK
MINEOLA
BRISTOL
OREFIELD
WATERBURY
FARMINGTON
WAKEFIELD
BRISTOL
HAWTHORNE
ENFIELD
NEW YORK
PORTLAND
WILTON
CARMEL
FAIRFIELD
HARTFORD
HARTFORD
STAMFORD
NEWINGTON
NEW HAVEN
NEW HAVEN
BOSTON
EAST LYME
HARTFORD
NEW HAVEN
WEST HARTFORD
KATONAH
SOUTHINGTON
WOCESTER
NORWICH
SOUTHPORT
NEW YORK
WAKEFIELD
HARTFORD
WATERBURY
LOXAHATCHEE
WATERBURY
WARWICK
YORKTOWN HTS
WESTPORT
SWANSEA
NEW HAVEN
HAWTHORNE
NEW PRESTON
NEW HAVEN
State
RI
CT
RI
NY
CT
NY
NY
NY
CT
PA
CT
CT
RI
CT
NY
CT
NY
CT
CT
NY
CT
CT
CT
CT
CT
CT
CT
MA
CT
CT
CT
CT
NY
CT
MA
CT
CT
NY
RI
CT
CT
FL
CT
RI
NY
CT
MA
CT
NY
CT
CT
Zip Code
02879-3214
06519-1109
02891-2233
10532-2144
06705-3851
10065-6007
10065-6007
11501-4077
06011-0977
18069-2044
06708-3346
06030-2000
02879-3214
06011-0977
10532-2144
06082-2961
10065-6007
06480-1512
06897-3013
10512-1921
06824-6668
06112-1639
06112-1639
06905-1904
06111-2631
06510-3220
06510-3220
02115-5724
06333-1735
06105-4230
06511-5614
06107-2227
10536-0800
06489-4006
01605-2528
06360-2222
06890-3306
10065-6007
02879-3214
06106-3309
06708-3115
33470-9272
06708-3126
02886-2759
10598-4436
06880-2425
02777-4710
06511-3786
10532-2144
06777-1703
06511-2181
Phone Number
401-767-4100
203-974-7016
401-348-9500
914-922-2241
203-596-0406
646-227-3813
646-227-3813
516-663-4938
440-627-2625
610-799-7089
203-755-6677
860-679-4636
401-767-4100
440-627-2625
914-922-2241
860-741-6572
646-227-3813
860-342-3303
203-762-9907
845-225-3400
203-255-2340
860-297-0909
860-297-0909
203-322-3700
860-666-6951
203-688-1734
203-688-1734
617-355-8537
860-739-6953
860-232-1844
203-782-0677
860-233-7514
914-763-8151
860-628-4460
508-755-1222
203-442-1166
203-838-1678
646-227-3813
401-767-4100
860-545-5000
203-757-1287
561-790-5666
203-574-0400
401-273-0641
914-302-8060
203-226-6309
508-677-0304
203-865-6784
914-922-2241
860-868-7318
203-787-4442
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1841244399
1215974993
1952322802
1942363189
1932368362
1841558616
1316009608
1285626077
1689666976
1316032295
1164598322
1770508087
1174751101
1003839291
1649579558
1841390036
1740280411
1861675019
1932220795
1356698567
1861469249
1437178860
1851474670
1861411647
1083729495
1265403927
1306918651
1356392203
1497076947
1992744668
1811916257
1649318585
1073921847
1053434134
1396700837
1528029790
1184755670
1316114390
1396732095
1497815419
1679764773
1083908917
1629377916
1194767681
1801939343
1477523488
1740265727
1255349205
1538391842
1679666549
1851722797
ALVERSON
ALYEA
AMANULLAH
AMBLE
AMBROSE
AMEN
AMETI
AMIN
AMLER
AMMERMAN
AMSTER
ANASTASIO
ANDERSON
ANDERSON
ANDERSON
ANDERSON
ANDREWS JR
ANGARITA
ANGLIKER
ANIKANOVA
ANTIN
ANTONECCHIA
ANUNCIADO
ANWER
APOLLON
APOSTOLIDES
APPEL
APPLEGATE
ARAYA
ARAYATA
ARCIERO
ARDEN-CORDONE
AREY
ARGENZIO
ARGUIN
ARIAS
ARIAS
ARIYAN
ARLIEVSKY
ARMSTRONG
ARNOLD
ARONOW
ARREDONDO
ASAAD
ASEFAW
ASHLEY
ATHANASIAN
ATKINS
ATTMORE
AUGUST
AUGUSTINE
BRIAN
EDWIN
SIRAJ
PAUL
MARIA
SHELLEY
LIRIM
NIKHIL
ROBERT
DONALD
SUSAN
GEORGE
ASHLEIGH
ELIZABETH
ERIN
LARRY
JOSEPH
GUSTAVO
COLIN
YULIYA
JOSEPH
PAUL
ALMA
MANSOOR
REBECCA
PAUL JON
GERALD
TODD
SOLEDAD
RICARDO
THOMAS
MARY
KATIE
DONNA
AMY
ALBERT
JANELLE
CHARLOTTE
NINA
KELLY
DANIEL
RACHEL
CHRISTINA
GHAZI
SENAI
DAVID
EDWARD
STEPHEN
SUSAN
IRWIN
ANNIE
593 EDDY STREET
450 BROOKLINE AVENUE
593 EDDY STREET
SILVER STREET
300 LONGWOOD AVENUE
34 PARK STREET
20 YORK ST. CB-2041
CHILDREN''S & WOMAN''S PHYSICI
CHILDREN'S & WOMAN'S PHYSICI
84 HOSPITAL AVENUE
1563 POST ROAD EAST
162 MOUNTAIN ROAD
5300 KIDSPEACE DRIVE
67 SAND PIT ROAD
6 GREENWICH OFFICE PARK
950 CAMPBELL AVE
100 DOUBLE BEACH ROAD
34 PARK STREET
110 WRIGHT STREET
CHILDREN'S & WOMAN'S PHYSICI
DFCI
ST. JOHN''S RIVERSIDE HOSPITAL
CONNECTICUT VALLEY HOSPITAL
64 ROBBINS STREETS
114 WOODLAND ST/ EMERGENCY DPT
6 GREENWICH OFFICE PARK
622 WEST 168TH STREET
5 PEQUOT PARK RD., SUITE 201A
1000 SILVER STREET
26 BURLING LANE
1127 W MAIN STREET
30 SHELBURNE RD
759 CHESTNUT STREET
CHILDREN'S & WOMAN'S PHYSICI
516 CAREW ST
21 HAZEL TERRACE SUITE B
915 RIVER ROAD
1275 YORK AVE
CHILDREN'S & WOMAN'S PHYSICI
50 CHERRY STREET
433 WEST MAIN STREET
210 WESTCHESTER AVE
34 PARK STREET
72 NORTH STREET
20 YORK STREET, CB-2041
111 BREWSTER ST.
1275 YORK AVE
1635 CENTRAL AVENUE
400 CAPITAL BLVD
4 GROVE BEACH RD N
400 CAPITAL BLVD
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
DANA-FARBER CANCER INSTITUTE
19 BRADHURST AVE. STE 1400
19 BRADHURST AVE. STE 2400
130 GRAND ST.
450 BROOKLINE AVE
967 NORTH BROADWAY
1000 SILVER STREET
SAINT FRANCIS HOSPITAL
PH-4 ROOM 476
2ND FLOOR
BAYSTATE EMERGENCY MEDICINE
266 NORTH STREET STE. A
19 BRADHURTS AVE. STE 1400
DEPARTMENT OF FAMILY MEDICINE
3RD FLOOR
3RD FLOOR
Page 2 of 54
City
State Zip Code
Phone Number
PROVIDENCE
BOSTON
PROVIDENCE
MIDDLETOWN
BOSTON
NEW HAVEN
NEW HAVEN
HAWTHORNE
HAWTHORNE
DANBURY
WESTPORT
SUFFIELD
OREFIELD
DANBURY
GREENWICH
WEST HAVEN
BRANFORD
NEW HAVEN
MARION
CROTON ON HUDSON
BOSTON
YONKERS
MIDDLETOWN
WATERBURY
HARTFORD
GREENWICH
NEW YORK
WESTBROOK
MIDDLETOWN
NEW ROCHELLE
WATERBURY
STAMFORD
SPRINGFIELD
NEWBURGH
SPRINGFIELD
WOODBRIDGE
MIDDLETOWN
NEW YORK
HAWTHORNE
MILFORD
HYANNIS
WHITE PLAINS
NEW HAVEN
DANBURY
NEW HAVEN
PAWTUCKET
NEW YORK
BRIDGEPORT
ROCKY HILL
WESTBROOK
ROCKY HILL
RI
MA
RI
CT
MA
CT
CT
NY
NY
CT
CT
CT
PA
CT
CT
CT
CT
CT
VA
NY
MA
NY
CT
CT
CT
CT
NY
CT
CT
NY
CT
CT
MA
NY
MA
CT
CT
NY
NY
CT
MA
NY
CT
CT
CT
RI
NY
CT
CT
CT
CT
401-444-7396
617-632-5917
401-854-2504
860-262-5000
617-355-6000
203-974-7016
203-688-1734
914-922-2241
914-922-2241
203-792-0400
203-319-3939
860-668-1211
610-799-8160
203-743-7246
203-869-1145
203-932-5711
203-315-7500
203-974-7016
276-783-9526
914-922-2241
617-632-2525
914-964-4965
860-262-5000
215-442-5046
860-714-4001
203-869-1145
212-305-5020
860-391-8068
860-262-5000
914-235-1888
203-754-2225
203-276-7058
413-794-3233
914-922-2241
413-787-2069
860-558-2273
860-704-4126
646-227-3813
914-922-2241
203-783-9632
508-364-7522
914-607-5726
203-974-7016
203-748-1200
203-688-1734
401-729-2237
646-227-3813
203-551-7464
615-372-0078
203-627-0026
615-372-0078
02903-4923
02215-5418
02903-4923
06457-7023
02115-5724
06519-1109
06510-3220
10532-2144
10532-2144
06810-6047
06880-5602
06078-2091
18069-2044
06810-4032
06831-5100
06516-2700
06405-4909
06519-1109
24354-1027
10520-2307
02215-5450
10701-1301
06457-7023
06708-2613
06105-1208
06831-5100
10032-3270
06498-2856
06457-7023
10801-5626
06708-2765
06902-9317
01199-1619
12550-3131
01104-2236
06525-2209
06457-3921
10065-6007
10532-2140
06460-4050
02601-3644
10604-2901
06519-1109
06810-5648
06510-3220
02860-4499
10065-6007
06610-2717
06067-3576
06498-1656
06067-3576
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
Service Address Line 2
City
State Zip Code
Phone Number
1326184060
1528143245
1508182668
1487774931
1013975945
1396885646
1609061415
1386978963
1174595847
1508847120
1790984680
1316261266
1306951694
1134125834
1932184934
1184782013
1467555714
1841433364
1639187206
1184727752
1821089558
1235235144
1265532717
1003141847
1265599583
1023163953
1114085461
1063495562
1215219373
1831164672
1912218918
1912942350
1033177936
1619111366
1851376206
1275615957
1215154117
1164401626
1477531218
1306847397
1093891368
1467497404
1972601862
1891992897
1194841379
1861651192
1871592600
1154683399
1619950581
1982600300
1063633188
AVVOCATO
AXELROD
AYERS
AYRE
AYRES
AZEEM
AZZI
BACKIEL
BACKMAN
BADMAN
BAER
BAGOT
BAILEY
BAIN
BAINS
BAKER
BALASURIYAR
BALDASSARRI
BALDWIN
BALLA
BALLEN
BALLINGER
BALLS
BALSAMO
BALTER
BANCROFT
BANDANZA
BANERJI
BANGS
BANIKAZEMI
BANKI
BANQUET
BANSAL
BANTZ
BARAKAT
BARBER
BARBERIE
BARBIE
BARD
BARENFELD
BARIBAULT
BARKSDALE
BARONE
BARR
BARRO
BARTLETT
BARTON
BARTONE
BARUCH
BARWICK
BAST
PARTRICIA
FELICIA
GAYLE
MARY
ROGER
MUHAMMAD
JAMIL
JOANNA
KENNETH
DENNIS
JENIFFER
KARA
RONALD
LAURIE
MANJIT
C BRUCE
SARAVANA
STEPHEN
BARBARA
ROBERT
KAREN
LAUREN
ADAM
DALIA
ANDREW
HARTLEY
ROSINA
ALEENA
STEPHANIE
MARYAM
ALI
AGNES
RAJ
SELENE
RICHARD
TRACY
MICHAEL
DAVID
ADAM
HOWARD
HEATHER
ROBERT
LUCIANO
MATTHEW
JENNIFER
JEFFREY
JEROME
ROSE
JAY
MORVEN
BRIAN
CHILDREN'S & WOMAN'S PHYSICI
530 FIRST AVENUE, SUITE 9Q
20 YORK STREET
682 PROSPECT AVE
177 POST ROAD WEST
915 RIVER ROAD
55 FRUIT ST
20 YORK STREET, CB-2041
55 WALLS DRIVE
244 HIGHWATCH ROAD
1003 MAIN ST
230 S. FRONTAGE RD.
5 SOUTH MAIN ST
357 HARTFORD TURNPIKE
1275 YORK AVE
SILVER STREEET
1000 SILVER STREET
20 YORK STREET, CB-2041
CHILDREN''S & WOMENS PHYSICIAN
928 FARMINGTON AVENUE
100 BLOSSOM ST
100 MAPLE AVE
3741 W 12600 S
230 S FRONTAGE RD
234 CHURCH STREET
CHILDREN'S & WOMAN'S PHYSICI
SILVER STREET
55 FRUIT ST
MOUNT SINAI MEDICAL CENTER
CHILDREN''S & WOMENS PHYSICIAN
15 CONCORD STREET
CHILDREN''S & WOMAN''S PHYSICI
305 BOSTON AVE
6 DEVINE ST
1275 YORK AVE
435 LEWIS AVE
4 BERKSHIRE BLVD
450 BROOKLINE AVENUE
2150 BLACK ROCK TURNPIKE
CHILDREN'S & WOMAN'S PHYSICI
CHILDREN''S & WOMENS PHYSICIAN
1906 BELLEVIEW AVE
CHILDREN'S & WOMAN'S PHYSICI
263 FARMINGTON AVENUE
500 WEST PUTNAM AVE
CT CHILDRENS MEDICAL CENTER
40 CROSS STREET
CHILDREN'S & WOMENS PHYSICIAN
593 EDDY STREET
555 WILLARD AVE.
40 CROSS STREET
222 WESTCHESTER AVE STE. 202
WHITE PLAINS
NEW YORK
NEW HAVEN
HARTFORD
WESTPORT
MIDDLETOWN
BOSTON
NEW HAVEN
FAIRFIELD
EFFINGHAM
WILLIMANTIC
NEW HAVEN
BRANFORD
VERNON
NEW YORK
MIDDLETOWN,
MIDDLETOWN
NEW HAVEN
NEWBURGH
WEST HARTFORD
BOSTON
GREAT BARRINGTON
RIVERTON
NEW HAVEN
NEW HAVEN
MIDDLETOWN
MIDDLETOWN
BOSTON
NEW YORK
VALHALLA
GLASTONBURY
HAWTHORNE
STRATFORD
NEW HAVEN
NEW YORK
MERIDEN
BETHEL
BOSTON
FAIRFIELD
MONROE
SUFFERN
ROANOKE
WARWICK
FARMINGTON
GREENWICH
HARTFORD
NORWALK
HAWTHOTNE
PROVIDENCE
NEWINGTON
NORWALK
NY
NY
CT
CT
CT
CT
MA
CT
CT
NH
CT
CT
CT
CT
NY
CT
CT
CT
NY
CT
MA
MA
UT
CT
CT
NY
CT
MA
NY
NY
CT
NY
CT
CT
NY
CT
CT
MA
CT
NY
NY
VA
NY
CT
CT
CT
CT
NY
RI
CT
CT
914-922-2241
212-263-7225
203-688-9503
860-233-1141
203-341-0706
860-704-4000
617-726-5050
203-688-1734
203-259-7070
800-473-4221
860-450-9237
443-465-5556
203-488-1428
860-871-9441
646-227-3813
860-262-5358
860-262-5868
203-688-1734
845-565-5437
860-233-2322
617-724-1124
413-499-4850
801-442-1431
203-737-7986
203-787-5938
914-922-2241
860-262-5000
617-726-3850
646-249-8861
914-922-2241
860-659-2779
914-922-2241
203-384-3377
203-287-6200
646-227-3813
330-493-4443
203-826-3142
617-632-5917
203-384-2227
914-922-2241
914-922-2241
800-645-3055
914-922-2241
860-679-4636
203-863-2908
860-545-8950
203-845-2995
914-493-7997
401-854-2504
860-666-6951
203-845-2995
HUSKY Health Connecticut / Charter Oak Health Plan
TOMPKINS, 209
SUITE #5
GRAY BIGELOW 1003
STE. 405
BOX 351
BOX 351
266 NORTH STREET, SUITE # A
E00-1-118
SUITE 2
SUITE 1201
400 MIDWAY PARK DR.
BOX 351
COX 2
1 GUSTAVE LEVY PLACE, BOX 1104
503 GRASSLANDS RD
19 BRADHURST AVE. STE 1400
2ND FLOOR
DANA-FARBER CANCER INSTITUTE
SUITE 301
91 LAKES RD
255 LAFAYETTE AVE.
10 RONALD REAGAN BLVD.
JOHN DEMPSEY HOSPITAL
SUITE 100
282 WASHINGTON ST
SUITE 300
19 BRADHURST AVE., SUITE 1400
SUITE 300
Page 3 of 54
10604-2926
10016-6042
06510-3202
06105-4238
06880-4652
06457-2797
02114-2696
06510-3220
06824-5163
03882-8336
06226-3549
06519-1124
06405-3800
06066-4800
10065-6007
06457-7023
06457-7023
06510-3220
12550-3131
06107-1929
02114-2606
01230-1963
84065-7215
06519-1124
06510-1881
10940-2656
06457-7023
02114-2696
10029-6574
10595-1503
06033-2135
10532-2144
06614-5214
06473-3129
10065-6007
06451-2101
06801-1001
02215-5418
06825-3239
10950-2694
10901-4812
24014-1838
10990-4104
06030-1000
06830-6086
06106-3322
06851-4661
10532-2144
02903-4923
06111-2631
06851-4661
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1528026192
1235128968
1275574238
1437175486
1396823506
1225336134
1518239581
1568551927
1518940360
1225315377
1386771921
1306966064
1891719712
1659570182
1154427656
1699751099
1730126624
1528136413
1427283613
1497739916
1336185768
1114914611
1609193440
1073552774
1407810567
1588823165
1316145097
1780021253
1124462726
1396767448
1437197753
1205028214
1134230394
1720218670
1922085885
1629078936
1114204278
1326073420
1558523142
1356789788
1437377165
1891917381
1124177522
1265409726
1649256900
1851515951
1891118527
1427243138
1538149463
1912012857
1093882508
BASTARDI
BATHERSON
BATSON
BAUM
BAUMAN
BAUMBUSCH BROOKS
BAUMGARTNER
BAZOS
BEASON
BEAULIEU
BEAZLEY
BECK
BECKER
BECKER
BECKER
BECKER-TALWALKAR
BECKWITH
BEEBER
BEERY
BEHAR
BEHRENDS
BELKIN
BELKIND GERSON
BELL
BELL
BELLAPIANTA
BELLIN
BELLINGER
BELLMUNT MOLINS
BENDER
BENDER
BENDOR
BENET
BENIYAMINOV
BENJAMIN
BENNER
BENNETT
BENNETT
BENSON
BERGEN
BERGER
BERGMAN
BERKS
BERLAND
BERLIN
BERNARD PANTIN
BERNARDO
BERNBACH
BERNBACH
BERNSTEIN
BERRAN
HEATHER
BRIAN
RAMON
DAVID
JONATHAN
MARGARET
JACQUELINE
ANDREW
WILLIAM
MEGHAN
JANICE
DAVID
BRUCE
MARGARET
WILLIAM
KRISTEN
CURT
STUART
TODD
DAVID
ROBERT
GLENN
JAIME
GREGORY
SHEILA
JOSEPH
EVAN
PAIGE
JOAQUIN
STUART
SUZANNE
DANIEL
PETER
YANNA
TRACY
PRISCILLA
MAEVE
MICHAEL
CEDRIC
MARY CLARE
ROBERT
ERIC
ROBERT
ROBERT
RICHARD
LESLEY ANN
FILJAH
DANA
MARC
LANA
CAROL
300 LONGWOOD AVENUE
2 HANKS HILL RD
67 SAND PIT ROAD
162 KINGS HIGHWAY NORTH
800 CROSS RIVER ROAD
800 HOWARD AVE
111 SALEM TURNPIKE
226 WHITE STREET
324 FLANDERS RD
300 LONGWOOD AVENUE
100 WELLS STREET
263 FARMINGTON AVENUE
593 EDDY STREET
950 CAMPBELL AVE
950 CAMPBELL AVENUE
800 HOWARD AVE
1125 NORTH MAIN STREET
CHILDREN''S & WOMAN''S PHYSICI
1579 STRAITS TURNPIKE
5300 KIDSPEACE DRIVE
60 WESTWOOD AVENUE
CHILDREN'S & WOMAN'S PHYSICI
55 FRUIT ST
130 DIVISION
300 LONGWOOD AVENUE
31 RIVER ROAD
47 LONG LOTS RD
400 CAPITAL BLVD
450 BROOKLINE AVENUE
761 MAIN AVE
53 LANGLEY ROAD
567 VAUXHALL ST. EXT. ROOM 326
479 BUCKLAND ROAD
CHILDREN'S & WOMAN'S PHYSICI
40 HART STREET
2781 GERYVILLE PIKE
1 RIVER STREET
241 PERKINS ST. B 801
435 LEWIS AVENUE
1 RIVER STREET
263 FARMINGTON AVENUE
20 YORK STREET, CB-2041
244 HIGHWATCH ROAD
100 WELLS ST
349 OLD STOCKBRIDGE RD
NATCHAUG HOSPITAL
400 CAPITAL BLVD
CHILDREN'S HOSPITAL OF NY
171 GRANDVIEW AVENUE
49 LAKE AVE
79 PAYNE ROAD
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
SUITE 208
FIRST FLOOR
SUITE 7
SUITE 1B
EMERGENCY MEDICINE
MAILSTOP 151B
175 KING ST
LOWER LEVEL
SUITE 210
503 GRASSLANDS RD STE 200
YAW 6B
SUITE 100
BEHAVIORAL HEALTH
3RD FLOOR
DANA-FARBER CANCER INSTITUTE
SUITE 102
SUITE 380B
4350 VAN CORTLANDT PARK EAST
THUNDERMIST HEALTH CENTER
THUNDERMIST HEALTH CENTER
ASB, THIRD FLOOR
SUITE 1B
189 STORRS RD
3RD FLOOR
3959 BROADWAY
SUITE 104
SUITE 203
Page 4 of 54
City
State Zip Code
Phone Number
BOSTON
STORRS-MANSFIELD
DANBURY
WESTPORT
KATONAH
NEW HAVEN
NORWICH
DANBURY
EAST LYME
BOSTON
HARTFORD
FARMINGTON
PROVIDENCE
WEST HAVEN
WEST HAVEN
NEW HAVEN
PROVIDENCE
CHAPPAQUA
MIDDLEBURY
OREFIELD
WATERBURY
VALHALLA
BOSTON
DERBY
BOSTON
COS COB
WESTPORT
ROCKY HILL
BOSTON
NORWALK
NEWTON
WATERFORD
SOUTH WINDSOR
BRONX
NEW BRITAIN
PENNSBURG
WAKEFIELD
JAMAICA PLAIN
MERIDEN
WAKEFIELD
FARMINGTON
NEW HAVEN
EFFINGHAM
HARTFORD
LENOX
MANSFIELD
ROCKY HILL
NEW YORK CITY
WATERBURY
GREENWICH
BETHEL
MA
CT
CT
CT
NY
CT
CT
CT
CT
MA
CT
CT
RI
CT
CT
CT
RI
NY
CT
PA
CT
NY
MA
CT
MA
CT
CT
CT
MA
CT
MA
CT
CT
NY
CT
PA
RI
MA
CT
RI
CT
CT
NH
CT
MA
CT
CT
NY
CT
CT
CT
617-355-8537
860-429-8280
203-853-0003
203-226-6309
914-763-8151
203-785-4216
860-859-2262
203-797-1500
860-739-6953
617-355-8537
860-249-4466
860-679-4636
401-854-2504
203-932-5711
203-932-5711
203-785-4216
401-793-3704
914-922-2241
203-598-7246
610-799-7087
203-597-0633
914-922-2241
617-726-8705
616-464-0027
617-355-8537
203-863-2003
203-227-1251
615-372-0078
617-632-5915
860-282-4133
617-795-0492
860-442-8033
860-644-1111
914-922-2241
860-225-1227
215-679-8071
401-767-4100
617-738-9204
203-284-1340
401-767-4100
860-679-5589
203-688-1734
800-473-4221
860-278-8937
413-637-2845
860-456-1311
860-221-0797
212-305-4645
203-753-2048
203-752-7682
203-743-1150
02115-5724
06268-2213
06810-4032
06880-2425
10536-0800
06519-0309
06360-3442
06810-6814
06333-1735
02115-5724
06103-2920
06030-2000
02903-4923
06516-2770
06516-2770
06519-0309
02906-7014
10514-3494
06762-1835
18069-2044
06708-2460
10595-1593
02114-2696
06418-1326
02115-5724
06807-2152
06880-3828
06067-3576
02215-5418
06851-0001
02459-1913
06385-4330
06074-3739
10470-1875
06052-1743
18073-2306
02895-3214
02130-4010
06451-2101
02879-3214
06030-5386
06510-3220
03882-8336
06103-2920
01240-1111
06250-1683
06067-3576
10032-1559
06708-2524
06830-4501
06801-1264
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
Service Address Line 2
City
State Zip Code
Phone Number
1508935024
1306831391
1760698872
1194945634
1255449997
1114014891
1386701639
1730261421
1144203357
1780701698
1326371261
1275626889
1841328473
1093002677
1710942008
1679558944
1982016366
1518037860
1154427490
1063571560
1841580149
1902998776
1467591552
1871736942
1619030103
1760697635
1659582419
1790720753
1194710210
1154496016
1902876626
1750301982
1952396228
1558347161
1164432068
1679552046
1013129816
1619996410
1417935628
1043387384
1366514549
1346235462
1114083664
1316935034
1093741654
1336200328
1255380259
1073506705
1558386292
1508070376
1396905576
BERTUCH
BERV
BERZOLLA
BEVERIDGE
BEYER
BEZDICKOVA
BHALODIYA
BHATT
BIA
BIED
BIELAWSKI
BIERLY
BIERMAN
BILLER
BILSKY
BILSKY
BINNALL
BIRKBECK
BISNAUTH
BIVONA
BLACKWELL
BLAHA
BLAIR
BLANCO
BLATT
BLOOM
BLOOM, JR
BLUE
BLUM
BLUMENTHAL
BOBROWITZ
BOCCIARELLI
BOCHENEK
BOCHNER
BODEKER
BOLAND
BOMBACK
BOMBACK
BOMBACK
BOND
BONHEIM
BONTEMPI
BONYAI
BOOLBOL
BOONE
BORAS
BOREYKO
BORGES
BORIS
BORNSTEIN-BENNETT
BORTNIKER
ELIZABETH
DOUGLAS
CATHERINE
PHYLLIS
BARBARA
MARTINA
VIPULKUMA
JIMMY
FRANK
PAUL
MARK
JOHN
FREDERICK
RACHEL
ALAN
MARK
BRIAN
HELEN
RAJESH
JAMES
KATHERINE
GREGORY
CHARLES
CHRISTINA
KENNETH
KATHERINE
DAVID
HOWARD
THOMAS
LISA
JEFFREY
PAUL
JOANNA
BERNARD
WILLIAM
PATRICK
ANDREW
DAVID
FREDRIC
STEVEN
NELSON
ROSEMARY
EILEEN
ROBERT
PETER
DENISE
CHRISTOPHER
JAMES
GREGORY
MICHELLE
ETHAN
1236 MAIN ST
60 WASHINGTON AVENUE
500 W. PUTNAM AVE.
915 RIVER ROAD
CHILDREN'S & WOMAN'S PHYSICI
CHILDREN'S & WOMAN'S PHYSICI
30 SHELBURNE RD
342 ROUTE 202
115 HIGHLAND AVENUE
1160 BOSTON POST RD
555 WILLARD AVENUE
625 HOPMEADOW STREET
CHILDREN'S & WOMAN'S PHYSICI
CHILDREN''S & WOMENS PHYSICIAN
WOODS 515, RTE 413
1275 YORK AVE
759 CHESTNUT STREET
100 BILTON RD
CHILDREN'S & WOMAN'S PHYSICI
30 SHELBURNE RD
34 PARK STREET
1 ESSEX CENTER DR.
836 FARMINGTON AVENUE
210 WESTCHESTER AVE
500 VINE STREET
55 WALLS DRIVE
1060 DAY HILL ROAD
660 WINCHESTER AVENUE
200 SANDY HOLLOW RD
34 PARK STREET
CHILDREN'S & WOMAN'S PHYSICI
506 CROMWELL AVE
CHILDREN'S & WOMAN'S PHYSICI
1275 YORK AVE
130 EAST 77TH ST
1275 YORK AVE
635 WEST 168TH STREET
20 GERMANTOWN ROAD
99 FILEDSTONE DRIVE
34 DALE ROAD
500 WEST PUTNAM AVE
200 SANDY HOLLOW RD
501 CRESCENT ST
11 SOUTH ROAD
888 WHITE PLAINS RD
201 WEST MAIN STREET
MED NOW, P.C.
49 LAKE AVENUE
130 DIVISION STREET
2140 MENDON RD
263 FARMINGTON AVENUE
SUITE 202A
SUITE 102
HOLYOKE
HAMDEN
GREENWICH
MIDDLETOWN
WASHINGTONVILLE
WASHINGTONVILLE
STAMFORD
SOMERS
BRIDGEPORT
OLD SAYBROOK
NEWINGTON
SIMSBURY
HAWTHORNE
VALHALLA
LANGHORNE
NEW YORK
SPRINGFIELD
SOMERS
EASTCHESTER
STAMFORD
NEW HAVEN
PEABODY
WEST HARTFORD
WHITE PLAINS
HARTFORD
FAIRFIELD
WINDSOR
NEW HAVEN
MYSTIC
NEW HAVEN
GREENWICH
ROCKY HILL
MIDDLETOWN
NEW YORK
NEW YORK
NEW YORK
NEW YORK
DANBURY
HARTSDALE
AVON
GREENWICH
MYSTIC
NEW HAVEN
FARMINGTON
TRUMBULL
NIANTIC
STRATFORD
GREENWICH
DERBY
CUMBERLAND
FARMINGTON
MA
CT
CT
CT
NY
NY
CT
NY
CT
CT
CT
CT
NY
NY
PA
NY
MA
CT
NY
CT
CT
MA
CT
NY
CT
CT
CT
CT
CT
CT
CT
CT
NY
NY
NY
NY
NY
CT
NY
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
RI
CT
413-532-6777
203-407-6444
203-622-0303
860-704-4097
914-922-2241
914-922-2241
203-276-7058
914-277-4448
203-333-9175
860-388-3591
860-667-6894
860-658-5552
914-922-2241
914-922-2241
267-565-8239
646-227-3813
413-794-5550
860-814-4868
914-922-2241
203-276-7058
203-974-7016
781-744-8085
860-523-1451
914-607-5726
860-297-0909
203-259-7070
860-688-5595
203-776-8390
860-572-0402
203-974-7016
914-922-2241
860-529-8582
914-922-2241
646-227-3813
212-434-2275
646-227-3813
212-305-5020
203-744-9700
914-428-2120
860-677-0079
203-863-2908
860-572-0402
203-392-8861
203-743-7246
203-268-2882
860-451-3088
203-377-5733
203-661-2934
203-732-7460
401-334-2116
860-679-3158
HUSKY Health Connecticut / Charter Oak Health Plan
10 WEATHERVANE DR.
10 WEATHERVANE DR.
MOUNT KISCO MEDICAL GROUP PC
19 BRADHURTS AVE. STE 1400
100 WOODS ROAD
S4604
266 WHITE PLAINS RD
LAHEY CLINIC, INC
SUITE 221C
STE. 405
GROUND LEVEL
42 SHERWOOD PL
SUITE 203
400 MIDWAY PARK DR.
3RD FLOOR
PH4 RM124
SUITE 100
SCSU COUNSELING CENTER EN 219
1040 BARNUM AVENUE
SUITE 201
Page 5 of 54
01040-2955
06518-3271
06830-6086
06457-3921
10992-2242
10992-2242
06902-3628
10589-3207
06604-3549
06475-0822
06111-4272
06070-2449
10532-2140
10595-2144
19047-0036
10065-6007
01199-1619
06071-1059
10709-4429
06902-3628
06519-1109
01960-2901
06119-1505
10604-2901
06112-1639
06824-5163
06095-5719
06511-1969
06355-1744
06519-1109
06830-5638
06067-1836
10940-2656
10065-6007
10075-1851
10065-6007
10032-3270
06810-5023
10530-1564
06001-3659
06830-6086
06355-1744
06515-1355
06032-1943
06611-4552
06357-1014
06614-4968
06830-4501
06418-1326
02864-3833
06030-1845
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1770623639
1083606818
1790751667
1598830606
1376507699
1982638375
1457551707
1508028614
1356437479
1427030667
1215068135
1316070691
1104832401
1558352245
1659609584
1144475591
1710049622
1629338884
1679788004
1588636807
1174548663
1730240839
1669682753
1073552865
1811129463
1609967496
1689659963
1538117049
1679564157
1184827784
1518961218
1235263369
1518016799
1942574736
1851350417
1588620397
1235278458
1053311209
1548212251
1053689489
1366598955
1457362451
1396752424
1386811289
1689659435
1497882211
1891855086
1437318631
1003032467
1457328163
1730269986
BOSSIO
BOSTWICK
BOUCHARD
BOUCHEREAU
BOULWARE
BOURQUE
BOWER
BOWERS
BOYER
BOYLE
BOZZUTO
BRACCI
BRADLEY
BRADY
BRADY
BRAHAJ
BRAIER
BRANCATO
BRANCATO
BRANDEN
BRANSON
BRAUER
BRAUN
BRAY
BREEN
BREGANTE
BRENNAN
BRENNAN
BRENNAN
BREWER
BRICKER
BRIENZA
BRIGGS
BRINO
BRIONES
BRISTOL
BRODEY
BROGAN
BROMBERG
BRONSTEIN
BROOKS
BROOMHEAD
BROUGH
BROWN
BROWN
BROWN
BROWN
BROWN
BROWN
BROWN
BROWNER-ELHANAN
DEBRA
HOWARD
GLEN
CHANEL
MARY
VICTORIA
KATIE
DANIELLE
JOSE
JAY
JAMES
BRIAN
HELEN
MARY
REBECCA
ARBEN
FLORENCIA
ALISON
VITO
PETER
PERRY
LEE
IVY
DIANE
JEANNE
AUDREY
CAMERON
MICHAEL
MURRAY
JACQUELYN
JENNIFER
REBECCA
JUDITH
GINO
MARIA
JOSEPHINE
JAMES
MAUREEN
WARREN
WANDA
GABRIEL
PAUL
ALEXANDER
CARLY
CAROL
DEBRA
EMILY
GABRIEL
HARRY
JENNIFER
KAREN
100 DANBURY RD, SUITE 102
CHILDREN'S & WOMAN'S PHYSICI
WING MEMORIAL HOSPITAL
299 CAREW STREET
300 LONGWOOD AVENUE
55 NYE ROAD
1906 BELLEVIEW AVE
450 BROOKLINE AVENUE
CHILDREN'S & WOMAN'S PHYSICI
1275 YORK AVE
660 PROSPECT AVE
391 SHAKER ROAD
1321 SILAS DEANE HWY
1275 YORK AVE
170 HAZARD AVE
950 CAMPBELL AVENUE
CHILDREN'S & WOMAN'S PHYSICI
20 YORK STREET, CB-2041
26 JERICHO TURNPIKE
1201 WEST MAIN STREET
800 CROSS RIVER ROAD
65 MEMORIAL ROAD
CHILDREN''S & WOMENS PHYSICIAN
664 PROSPECT AVE
115 HIGHLAND AVENUE
148 EAST AVENUE
1275 YORK AVE
140 SHERMAN ST
1275 YORK AVE
32 STRAWBERRY HILL COURT
CHILDREN''S & WOMENS PHYSICIAN
950 CAMPBELL AVENUE
400 CAPITAL BLVD
954 SOUTH MAIN ST
344 MAIN ST , SUITE # 303
152 DEER HILL AVENUE
270 FARMINGTON AVE
CHILDREN''S & WOMAN''S PHYSICI
MOUNT KISCO MEDICAL GROUP PC
357 HARTFORD TPKE
450 BROOKLINE AVENUE
344 WATERTOWN RD
ONE GENERAL STREET
20 YORK STREET, CB-2041
1275 YORK AVE
915 RIVER ROAD
CHILDREN'S & WOMAN'S PHYSICIAN
185 ROUTE312
TEMENOS INSTITUTE
450 BROOKLINE AVENUE
CHILDREN'S & WOMAN'S PHYSICIAN
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
503 GRASSLANDS RD STE 201
40 WRIGHT ST
SUITE 226
SUITE 102
DANA-FARBER CANCER INSTITUTE
266 WHITE PLAINS RD
115 MAIN ST
SUITE 100
SUITE 440
2529 ROUTE 52 STE. 3
SUITE 3G
2ND FLOOR
19 BRADHURST AVE
MAIL CODE: 11ACS1
3RD FLOOR
19 BRADHURST AVE. STE 200N
110 S. BEDFORD ROAD
400 MIDWAY PARK DR.
MOUNT KISCO MEDICAL GROUP PC
29 EAST MAIN ST.
DANA-FARBER CANCER INSTITUTE
222 WESTCHESTER AVE STE. 202
Page 6 of 54
City
State Zip Code
Phone Number
RIDGEFIELD
VALHALLA
PALMER
SPRINGFIELD
BOSTON
GLASTONBURY
ROANOKE
BOSTON
EASTCHESTER
NEW YORK
HARTFORD
ENFIELD
WETHERSFIELD
NEW YORK
ENFIELD
WEST HAVEN
TUCKAHOE
NEW HAVEN
NEW HYDE PARK
WATERBURY
KATONAH
WEST HARTFORD
HOPEWELL JUNCTION
HARTFORD
BRIDGEPORT
NORWALK
NEW YORK
FAIRFIELD
NEW YORK
STAMFORD
HAWTHORNE
WEST HAVEN
ROCKY HILL
PLANTSVILLE
MOUNT KISCO
DANBURY
FARMINGTON
HAWTHORNE
MOUNT KISCO
VERNON
BOSTON
THOMASTON
LAWRENCE
NEW HAVEN
NEW YORK
MIDDLETOWN
MIDDLETOWN
CARMEL
WESTPORT
BOSTON
WHITE PLAINS
CT
NY
MA
MA
MA
CT
VA
MA
NY
NY
CT
CT
CT
NY
CT
CT
NY
CT
NY
CT
NY
CT
NY
CT
CT
CT
NY
CT
NY
CT
NY
CT
CT
CT
NY
CT
CT
NY
NY
CT
MA
CT
MA
CT
NY
CT
NY
NY
CT
MA
NY
203-431-4443
914-922-2241
978-466-2994
413-737-9746
617-355-8537
860-657-3056
800-645-3055
617-632-5917
914-922-2241
646-227-3813
860-233-8672
860-763-6580
860-614-8110
646-227-3813
860-749-2022
203-932-5711
914-922-2241
203-688-1734
516-775-3915
203-573-4885
914-763-8151
860-586-8930
845-227-0123
860-236-8087
203-333-9175
203-838-4034
646-227-3813
203-255-6780
646-227-3813
203-276-7058
914-493-7620
203-932-5711
615-372-0078
860-628-4761
914-597-2317
203-744-4092
860-674-0663
914-922-2241
914-241-1050
860-871-9441
617-632-6713
860-283-0296
978-683-4000
203-688-1734
646-227-3813
860-704-4045
914-922-2241
845-278-7000
203-227-4388
617-632-5917
914-922-2241
06877-4122
10595-1593
01069-1138
01104-1007
02115-5724
06033-1281
24014-1838
02215-5418
10709-4429
10065-6007
06105-1222
06082-2376
06109-4302
10065-6007
06082-4520
06516-2770
10707-2948
06510-3220
11040-4506
06708-3105
10536-0800
06107-4221
12533-3246
06105-4203
06604-3549
06851-5727
10065-6007
06824-5849
10065-6007
06902-2594
10532-1533
06516-2770
06067-3576
06479-6479
10549-3027
06810-7766
06032-1909
10532-2140
10549-3446
06066-4800
02215-5450
06787-1921
01841-2961
06510-3220
10065-6007
06457-3921
10940-2656
10509-2337
06880-3749
02215-5418
10604-2926
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1427074194
1578566543
1376770727
1407154552
1063500841
1558319954
1033296223
1659453041
1578506846
1639145139
1023193547
1750345989
1982679767
1396882312
1275636847
1447353016
1245415959
1861488868
1245307438
1811986177
1801987151
1881094936
1427134287
1003893132
1841409398
1457446874
1023261559
1922141969
1467690271
1497863245
1770990962
1821273897
1144343328
1740399302
1992899215
1295706737
1568404242
1366475469
1942310040
1568436830
1265541056
1912966052
1003015439
1235334913
1629082540
1871507798
1760484554
1265583215
1396832044
1609165257
1295829521
BRUCH JR
BRUCKEL DDS
BRUNEAU
BRUNELL
BRUNNOCK
BRUNO
BRYON
BUCHANAN
BUCKLEY
BUKHARI
BULL
BULLARD
BUNNELL
BURDICK
BURKARD
BURKE
BURKE
BURRISFISH
BURSTEIN
BURTON
BUSH
BUTLER
BUTRYNSKI
BUTTNER
BUXTON
BYLAN
CABRERA MARTINEZ
CADARIU
CAHILL
CAIN
CALDER
CALIFANO
CALLAHAN
CALLE
CALLIGARIS
CAMEL
CAMERON
CAMERON
CAMP
CAMPBELL
CAMPO
CAMPOS
CANETTA
CANTATOREFRANCIS
CANTNER
CANTNER
CANTOR
CAPLIN
CAPRARO
CAPURSO
CARACENI
FREDERICK
MURRAY
HEATHER
MICHAEL
MEGHAN
BRETT
LORI
ANNE
ELISE
NAYER
PETER
DAVID
CRAIG
THERESA
DAVID
EMA
LEAH
JAMEY
DAVID
JAY
ERIC
NICOLE
JAMES
WILLIAM
KRISTIN
TRACY
MARIBEL
ARINA
JOHN
PETER
KATHERINE
CLAUDIA
ANN
STUART
ROSEMARY
MARK
IAN
SANDRA
FRANCIS
DEBRA
ALFONSE
SUSANA
PIETRO
JULIE
IRA
MATTHEW
LILIAH
JOANNE
GEOFFREY
NOAH
LESLIE
ONE VERNEY DRIVE
26 CHESTNUT HILL ROAD
455 TOLLGATE ROAD
142A DANIELSON PIKE
495 ROUTE 184, SUITE 108
88 BEACH STREET
170 HAZARD AVE
1 RIVER STREET
300 LONGWOOD AVENUE
153 MAIN STREET
435 LEWIS AVENUE
593 EDDY STREET
450 BROOKLINE AVENUE
75 SEMINARY HILL RD.
928 FARMINGTON AVENUE
928 FARMINGTON AVENUE
20 YORK STREET, CB-2041
11 DOG HILL ROAD
34 DALE ROAD
701 ENFIELD STREET
780 MAIN ST., STE.1
400 CAPITAL BLVD
450 BROOKLINE AVENUE
697 POMFRET STREET
300 LONGWOOD AVE
410 SAYBROOK ROAD
20 YORK STREET, CB-2041
20 YORK STREET, CB-2041
34 PARK STREET
5 DURHAM ROAD
759 CHESTNUT STREET
157 GOOSE LANE
10 CORBIN DR.
A WALK-IN MEDICAL CENTER, LLC
CHILDREN'S & WOMAN'S PHYSICI
6 GREENWICH OFFICE PARK
2174 MAIN ST
2150 MAIN STREET
359 FARMINGTON AVENUE
320 POMFRET STREET
1275 SUMMER ST
450 BROOKLINE AVENUE
635 WEST 168TH STREET
148 EAST AVE.
97 ELM STREET
97 ELM STREET
CHILDREN''S & WOMAN''S PHYSICI
36 EAST 36 STREET
593 EDDY STREET
20 YORK STREET
12 LIBRARY STREET
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
THUNDERMIST HEALTH CENTE
SUITE 9
DANA-FARBER CANCER INSTITUTE
SUITE 208
3RD FLOOR
DANA-FARBER CANCER INSTITUTE
QUIET CORNER FAMILY PRACTICE
SHORELINE PSYCHIATRY LLC
SUITE 4
365 WILLARD AVENUE 2E
266 WHITE PLAINS RD
SU. 107
DANA-FARBER CANCER INSTITUTE
PH-4 RM 124
SUITE 3B
755 N BROADWAY STE. 540
SUITE 1K
Page 7 of 54
City
State Zip Code
Phone Number
GREENFIELD
NORWALK
WARWICK
FOSTER
GROTON
WESTERLY
ENFIELD
WAKEFIELD
BOSTON
MANCHESTER
MERIDEN
PROVIDENCE
BOSTON
CARMEL
WEST HARTFORD
WEST HARTFORD
NEW HAVEN
DAYVILLE
AVON
ENFIELD
GREAT BARRINGTON
ROCKY HILL
BOSTON
POMFRET
BOSTON
MIDDLETOWN
NEW HAVEN
NEW HAVEN
NEW HAVEN
GUILFORD
SPRINGFIELD
GUILFORD
DARIEN
NEWINGTON
EASTCHESTER
GREENWICH
GLASTONBURY
SPRINGFIELD
PLAINVILLE
PUTNAM
STAMFORD
BOSTON
NEW YORK
NORWALK
OLD SAYBROOK
OLD SAYBROOK
SLEEPY HOLLOW
NEW YORK
PROVIDENCE
NEW HAVEN
FRAMINGHAM
NH
CT
RI
RI
CT
RI
CT
RI
MA
CT
CT
RI
MA
NY
CT
CT
CT
CT
CT
CT
MA
CT
MA
CT
MA
CT
CT
CT
CT
CT
MA
CT
CT
CT
NY
CT
CT
MA
CT
CT
CT
MA
NY
CT
CT
CT
NY
NY
RI
CT
MA
603-547-3311
203-846-3251
401-737-7000
401-567-0800
860-449-9090
401-596-0075
860-749-2022
401-767-4100
617-355-8537
860-646-2345
203-284-1340
401-854-2504
617-632-5917
845-225-3400
860-233-2322
860-233-2322
203-688-1734
860-779-0321
860-677-0079
860-741-6572
413-528-2418
615-224-5438
617-632-5917
860-315-5400
617-355-8537
860-685-8950
203-688-1734
203-688-1734
203-974-7016
203-453-5955
413-797-3233
203-458-1816
203-655-0002
860-436-3226
914-922-2241
203-869-1145
860-657-3602
860-741-6572
860-747-5761
860-928-6541
203-354-3974
617-632-5917
212-305-5020
203-538-5682
860-388-4439
860-388-4439
914-922-2241
212-532-8666
401-854-2504
203-688-9503
508-202-9050
03047-5000
06851-2524
02886-2759
02825-1475
06340-6229
02891-2718
06082-4520
02879-3214
02115-5724
06042-3130
06451-2101
02903-4923
02215-5418
10512-1921
06107-1929
06107-1929
06510-3220
06241-2106
06001-3659
06082-2961
01230-2180
06067-3576
02215-5418
06258-0011
02115-5724
06457-4780
06510-3220
06510-3220
06519-1109
06437-2076
01199-1619
06437-4107
06820-5403
06111-2316
10709-4429
06831-5100
06033-2206
01104-3300
06062-1343
06260-0901
06905-5315
02215-5418
10032-3270
06851-9993
06475-4144
06475-4144
10591-1076
10016-3441
02903-4923
06510-3202
01701-9998
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1881600880
1558434845
1346207602
1043415995
1417906496
1699726554
1689866618
1144406471
1063599637
1265444731
1780853788
1033378435
1912005976
1851587208
1841325248
1104805431
1386789675
1760484513
1124052519
1336236439
1942373113
1033311121
1679823116
1912198920
1932184314
1316977242
1689891129
1114948577
1619973690
1548311947
1023011327
1811972698
1144588567
1407057029
1932125036
1851493852
1205857117
1174630651
1790844926
1871576736
1710044847
1306899745
1205825197
1336312271
1669488805
1720385727
1003158460
1386636645
1174566806
1932312709
1841589363
CARBONE
CARELLA
CAREN
CAREY
CARGILL
CARLESI
CARLSON
CARLSON
CARLSON
CARLSON TUOHY
CARLUCCI
CARON
CARPENTIERI
CARR
CARROLL
CARROLL
CARTIER
CARTWRIGHT LOWE MD
CARVER
CARVER
CASS
CASSESE
CASSIDY
CASSON
CASTIEL
CASTIGLIONE JR
CASTILLO
CASTRO-MAGANA
CATAPANO-FRIEDMAN
CATON
CAVALLO
CECCARELLI
CEMALOVIC
CERONE
CERVONKA
CHA
CHACHAJ
CHACHO
CHACKO
CHALEBY
CHAMBERLIN
CHAN
CHANG
CHANG
CHANN
CHANNELL
CHAO
CHAO
CHAPMAN
CHARNEY
CHASE
JOSEPH
PETER
CHELSY
PATRICIA
LILI
VINCENT
CHRISTINA
JON
JUDITH
BETH
HARLE
DAVID
JOSEPH
KATHLEEN
DZWINKA
LASHUN
STACEY
NADINE
BRETT
DEBORAH
ALISON
TODD
JAMES
ANNE
MERCEDES
FRANK
JORGE
MARIANO
LISA
MAMIE
RUSSELL
SILVIO
NAIL
DANA
DANIEL
BRUCE
JERZY
KAROL
ELSAMMA
KUTAIBA
DOUGLAS
CHEE-YEUNG
JAIME
JOANNE
GREGORY
VICTORIA
CHRISTINA
CHUN-PENG
LAURA
HOWARD
ISAIAH
800 CROSS RIVER ROAD
343 NEW LONDON TPKE.
101 DUDLEY STREET
NORWALK HEALTH DEPARTMENT
2056 MOUNT MOOSILAUKE HWY
999 SUMMER STREET
58 MISSIONARY RD
34 PARK STREET
95 THOMASTON AVENUE
162 KINGS HIGHWAY NORTH
370 LINWOOD STREET
24 PUTNAM PIKE
OWENS PLACE 2
300 LONGWOOD AVENUE
500 W.PUTNAM AVE.
1 RIVER STREET
34 PARK STREET
555 WILLARD AVENUE
1275 YORK AVE
200 EAST 87TH STREET
8 WEST END AVE
20 YORK STREET, CB-2041
151 BROAD STREET
1275 YORK AVE
1275 YORK AVE
1844 WHITNEY AVENUE
450 BROOKLINE AVENUE, LW205
120 MINEOLA BOULEVARD
357 SHIELDS DRIVE
435 LEWIS AVENUE
30 SHELBURNE RD
1 THEALL ROAD
30 SHELBURNE RD
40 WRIGHT ST
2 TRAP FALLS
60 WASHINGTON ANENUE
115 SPENCER STREET
4699 MAIN STREET
1000 SILVER STREET
5300 KIDSPEACE DRIVE
49 WELLS ST. #202
MOUNT KISCO MEDICAL GROUP PC
15 PARKMAN ST
34 SYCAMORE AVENUE
400 DANBURY RD
40 CROSS STREET
761 MAIN AVE
CHILDREN'S & WOMAN'S PHYSICI
593 EDDY STREET
2559 DIXWELL AVENUE
20 YORK STREET
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
137 EAST AVE
BECKET HOUSE AT HALL FARM
SUITE 304
FIRST FLOOR
THUNDERMIST HEALTH CENTER
SUITE 12E
PDH
DANA-FARBER CANCER INSTITUTE
SUITE 210
WING MEMORIAL HOSPITAL
SUITE 202
SUITE 210
90 S. BEDFORD ROAD
WANG 108
SUITE 2A
SUITE 300
SUITE 102
19 BRADHURST AVE. STE 1400
TOMPKINS, 209
Page 8 of 54
City
State Zip Code
Phone Number
KATONAH
GLASTONBURY
PROVIDENCE
NORWALK
PIKE
STAMFORD
CROMWELL
NEW HAVEN
WATERBURY
WESTPORT
NEW BRITAIN
DAYVILLE
SIMSBURY
BOSTON
GREENWICH
WAKEFIELD
NEW HAVEN
NEWINGTON
NEW YORK
NEW YORK
OLD GREENWICH
NEW HAVEN
MIDDLETOWN
NEW YORK
NEW YORK
HAMDEN
BOSTON
MINEOLA
BENNINGTON
MERIDEN
STAMFORD
RYE
STAMFORD
PALMER
SHELTON
HAMDEN
WINSTED
BRIDGEPORT
MIDDLETOWN
OREFIELD
GLASTONBURY
MOUNT KISCO
BOSTON
LITTLE SILVER
WILTON
NORWALK
NORWALK
HAWTHORNE
PROVIDENCE
HAMDEN
NEW HAVEN
NY
CT
RI
CT
NH
CT
CT
CT
CT
CT
CT
CT
CT
MA
CT
RI
CT
CT
NY
NY
CT
CT
CT
NY
NY
CT
MA
NY
VT
CT
CT
NY
CT
MA
CT
CT
CT
CT
CT
PA
CT
NY
MA
NJ
CT
CT
CT
NY
RI
CT
CT
914-763-8151
860-633-5143
401-273-0641
203-854-7973
603-536-3871
203-325-5700
860-632-8703
203-974-7016
203-805-6414
203-226-6309
860-832-5742
860-779-1230
860-658-6366
617-355-8537
203-622-0303
401-767-4100
203-974-7016
866-808-7921
646-227-3813
212-737-4525
203-637-3212
203-688-1734
860-889-8346
212-639-5948
646-227-3813
203-281-5445
617-632-5917
516-663-4938
802-442-3757
203-694-8630
203-276-7058
914-607-5726
203-276-7058
978-466-2994
203-929-1954
203-281-6574
860-738-6985
203-372-5282
860-262-5868
610-799-8160
860-659-4010
914-242-1370
617-726-2707
732-747-9310
203-762-8405
203-845-2995
860-282-4133
914-922-2241
401-854-2504
203-248-0072
203-688-9503
10536-0800
06033-4505
02905-2401
06851-5702
03780-5611
06905-5513
06416-2134
06519-1109
06702-5501
06880-2425
06052-1949
06241-1608
06070-1743
02115-5724
06830-6086
02879-3214
06519-1109
06111-2631
10065-6007
10128-3131
06870-1642
06510-3220
06457-3327
10065-6007
10065-6007
06517-1400
02215-5418
11501-4077
05201-9810
06451-2101
06904-9317
10580-1404
06902-3628
01609-1138
06484-4665
06518-3271
06098-1141
06606-1830
06457-7023
18069-2044
06033-4205
10549-3412
02114-3117
07732-1248
06897-2005
06851-4661
06851-0001
10532-2140
02903-4923
06514-1809
06510-3202
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1619124856
1700068103
1619921129
1124296710
1497932867
1700101219
1518191782
1801932942
1750475018
1033215256
1821099235
1003982091
1821088584
1093779936
1245215565
1174610653
1790074185
1922168913
1740440262
1669577953
1598746166
1073677209
1255430625
1770810319
1851622476
1700044468
1518992874
1912949751
1992723282
1740390228
1649428319
1710211370
1063473312
1801842505
1023053519
1194064055
1720020597
1790895795
1760453336
1467408534
1033200506
1740501311
1235115213
1457575052
1922062397
1043382344
1518023522
1376566760
1083638928
1326028531
1093914715
CHAUHAN
CHAVEL
CHAWLA
CHELLAPPA
CHEN
CHEN
CHEN
CHEN
CHEN
CHERVIN
CHESIR
CHESS
CHETKOWSKI
CHEVALIER
CHI
CHIMBLO
CHING
CHO
CHOI
CHOMIAK
CHOO
CHOUEIRI
CHRISTENSEN
CHU
CHUGH
CHUNG
CHUNG
CIALFI
CIANCIMINO
CIARALLO
CIARCIA
CICHON DEANNA
CIMINO
CIMINO
CINER
CINNANTE
CIOFFI
CIZEK
CLAIN
CLARICK
CLARK
CLARK
CLARK
CLAUSS
CLEARY
CLEMENTS
CLOUTIER
CLUBB
CLYNE
COATES
COCHRAN
ZEESHAN
SEVERINE
ANJULIKA
PARKAVI
JARA
MICHAEL
RICK
WEI
YUIX
BRADFORD
JOSHUA
CYRUS
JOHN
JAMES
DENNIS
DOREEN
SANDY
CAROLINE
BRYAN
MARY ANN
ESTHER
TONI
STACY
JEFFREY
SAVNEEK
ERICA
JIN
VICTORIA
DAVID
LYDIA
JAMES
20 YORK STREET, CB-2041
1290 SUMMR STREET
593 EDDY STREET
CONNECTICUT VALLEY HOSPITAL
20 YORK STREET, CB-2041
263 FARMINGTON AVE
1432 E FIRETOWER RD
CHILDREN'S & WOMENS PHYSICIAN
CHILDREN''S & WOMENS PHYSICIAN
2600 POST ROAD
CHILDREN''S & WOMAN''S PHYSICI
153 EAST AVE
WACHUSETT EMERGENCY PHYSICIANS
505 EAST 70TH STREET
1275 YORK AVE
30 SHELBURNE RD
10 UNION SQUARE EAST 4K
CHILDREN'S & WOMAN'S PHYSICI
593 EDDY STREET
11 SOUTH ROAD
593 EDDY STREET
450 BROOKLINE AVENUE
201 WEST MAIN ST
1060 DAY HILL ROAD
CHILDREN'S & WOMAN'S PHYSICI
593 EDDY STREET
555 WILLARD AVENUE
357 HARTFORD TPKE
4697 MAIN STREET
593 EDDY STREET
388 EAST MAIN ST
130 DIVISION
1300 POST RD
52 BEACH ROAD SUITE 207
CHILDREN''S & WOMAN''S PHYSICI
CHILDREN'S & WOMENS PHYSICIAN
555 WILLARD AVENUE
181 WHITE ST
6 GREENWICH OFFICE PARK
90 S. BEDFORD ROAD
5300 KIDSPEACE DRIVE
300 CEDAR ST
CMRC
55 PECK ROAD
450 BROOKLINE AVENUE
264 BILTON RD
282 WASHINGTON ST
263 FARMINGTON AVENUE
593 EDDY STREET
300 WESTERN BLVD
580 COURT STREET
PETER
WILLIAM
AMY
KARMA
PATRICIA
SUSAN
MICHAEL
CAROLYN
ANDREW
BRIAN
MARK
KELLY
JAMES
MICHAEL
MICHELLE
SONI KEVIN
BRIAN
AMY
THOMAS
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
SUITE 3600
1000 SILVER STREET
CHILD & ADOLESCENT PSYCHIATRY
688 WHITE PLAINS RD, STE.232
503 GRASSLANDS RD
337 N. MAIN ST. STE 4
60 HOSPITAL ROAD
2ND FLOOR
150 WHITE PLAINS RD. STE 101
SUITE 250
DANA-FARBER CANCER INSTITUTE
19 BRADHURST AVE. STE 200N
SUITE 3
SUITE 202
4350 VAN CORTLANDT PARK EAST
115 MAIN STREET, STE.301
HEALTH SERVICE
MOUNT KISCO MEDICAL GROUP PCV
TAC-441 SOUTH
ONE VERNEY DRIVE
DANA-FARBER CANCER INSTITUTE
EMERGENCY MEDICINE
SUTIE A
THE CHESHIRE MEDICAL CENTER
Page 9 of 54
City
State Zip Code
Phone Number
NEW HAVEN
STAMFORD
PROVIDENCE
MIDDLETOWN
NEW HAVEN
FARMINGTON
GREENVILLE
SCARSDALE
VALHALLA
SOUTHPORT
NEW CITY
NORWALK
LEOMINSTER
NEW YORK
NEW YORK
STAMFORD
NEW YORK
TARRYTOWN
PROVIDENCE
FARMINGTON
PROVIDENCE
BOSTON
NIANTIC
WINDSOR
HAWTHORNE
PROVIDENCE
NEWINGTON
VERNON
BRIDGEPORT
PROVIDENCE
BRANFORD
DERBY
FAIRFIELD
FAIRFIELD
BRONX
TUCKAHOE
NEWINGTON
DANBURY
GREENWICH
MOUNT KISCO
OREFIELD
NEW HAVEN
GREENFIELD
TORRINGTON
BOSTON
SOMERS
HARTFORD
FARMINGTON
PROVIDENCE
GLASTONBURY
KEENE
CT
CT
RI
CT
CT
CT
NC
NY
NY
CT
NY
CT
MA
NY
NY
CT
NY
NY
RI
CT
RI
MA
CT
CT
NY
RI
CT
CT
CT
RI
CT
CT
CT
CT
NY
NY
CT
CT
CT
NY
PA
CT
NH
CT
MA
CT
CT
CT
RI
CT
NH
203-688-1734
203-325-3576
401-444-8219
860-262-5400
203-688-1734
860-679-2730
252-439-1150
914-725-5252
914-922-2241
203-256-3338
914-922-2241
203-853-1191
978-466-2995
212-772-9714
646-227-3813
203-276-7058
646-602-8030
914-922-2241
401-854-2504
203-743-7246
401-854-2504
617-632-5917
860-679-5523
860-688-5595
914-922-2241
401-444-7396
203-932-5711
860-871-9441
203-372-5695
401-854-2504
203-480-5300
616-464-0027
203-255-8827
203-255-7000
914-922-2241
914-771-7070
860-666-6951
203-837-8593
203-869-1145
914-242-1370
610-799-7089
203-785-3207
603-547-3311
860-482-8588
617-632-5917
860-763-6588
860-837-5323
860-679-4636
401-854-2504
860-257-4131
603-354-6534
06510-3220
06905-5325
02903-4923
06457-7023
06510-3220
06030-1410
27858-4105
10583-5015
10595-1503
06890-1258
10956-4318
06851-5711
01453-2205
10021-4872
10065-6007
06902-3628
10003-3314
10591-5521
02903-4923
06032-1943
02903-4923
02215-5418
06357-7504
06095-5719
10532-2140
02903-4923
06111-2631
06066-4838
06606-1869
02903-4923
06405-2914
06418-1326
06824-6038
06484-6017
10470-1875
10707-2949
06111-2600
06810-6828
06831-5100
10549-3412
18069-2044
06520-8057
03047-5000
06790-6106
02215-5450
06071-9999
06106-3322
06030-2000
02903-4923
06033-4305
03431-1718
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1215126511
1164744553
1437310182
1528039229
1679557276
1932121365
1750480224
1942231782
1942237847
1326138785
1710074075
1881768158
1811969603
1629005350
1851488191
1053334250
1962604785
1780774414
1356372791
1740271444
1073789830
1881095537
1477617843
1790885374
1598055139
1164675005
1508078221
1427168129
1174585723
1023113818
1417038308
1538209556
1003085150
1366468415
1912006867
1265434526
1730283110
1720372196
1235163346
1588811574
1427494111
1659486173
1548371800
1396706230
1952700726
1720063712
1619967114
1235287079
1598805277
1639216427
1366609257
COCKERLINE
COCKS
COCOLA
CODY
CODY III
COE
COFFEY
COFFEY
COGHLIN
COHEN
COHEN
COHEN
COHEN
COHEN
COHEN
COHEN
COHN
COHN-HAFT
COIMBRA
COIT
COLAN
COLE
COLE
COLEMAN
COLIN
COLYER
COMLY
CONBOY
CONCILIO
CONDON
CONNELLY
CONNORS
CONOVER
CONSTANTINE
CONSTANTINO
CONSTANTINOU
CONTI-KELLY
CONWAY
COOK
COOPER
COOPER
COOPER
COPANS
COPE
CORCORAN
CORDEIRO
CORDES
CORNELIUS
CORREALE
CORRIERO
CORTEZZO
ELIZABETH
ANN
ELIZABETH
LORETTA
HIRAM
MARY
MARGARET
TOM
DANIEL
CYNTHIA
DANIEL
DAVID
GLORIA
ISAAC
IVAN
JOSEPH
JAMIESON
HERA
RAUL
DANIEL
MIGUEL
JENNIFER
KAREN
JONATHAN
ASHLEIGH
EMILY
KATHLEEN
KEVIN
GERARDO
DEIDRE
HAROLD
RICHARD
BRIAN
MICHAEL
JANET
EUGENE
ANN MARIE
ERIN
VICTORIA
CHARLENE
SIOBHAN
STEPHEN
STUART
JENNIFER
KAREN
PETER
DAVID
CYNTHIA
DANA
EUGENIA
DONNAMARIA
36 BRIDGE WAY
400 CAPITAL BLVD.
UNIVERSITY OF SAINT JOSEPH
CHILDREN'S & WOMAN'S PHYSICI
1275 YORK AVE
57 NORTH ST
291 WHITNEY AVE
15 CORPORATE DRIVE
593 EDDY STREET
CHILDREN''S & WOMAN''S PHYSICI
CHILDREN'S & WOMENS PHYSICIAN
622 WEST 168TH STREET
6 GREENWICH OFFICE PARK
888 WHITE PLAINS RD
1305 POST ROAD
630 PLANTATION STREET
593 EDDY STREET
10 NORTH MAIN ST
200 WEST ARBOR STREET
1275 YORK AVE
360 MAIN STREET
759 CHESTNUT STREET
CHILDREN'S & WOMENS PHYSICIAN
1275 YORK AVE
230 SOUTH FRONTAGE ROAD
455 TOLLGATE ROAD
5300 KIDSPEACE DRIVE
38 LAKE AVENUE
132 OLD RIVER RD
172 MT. PLEASANT ROAD
2499 MAIN ST
1 PERRYRIDGE ROAD
1000 SILVER STREET
20 PROSPECT STREET
40 ALBERT STREET
555 WILLARD AVE
133 SCOVILL STREET
223 EAST 34 STREET
2150 MAIN STREET
400 CAPITAL BLVD
300 LONGWOOD AVE
666 GLENBROOK ROAD
455 SOUTH STREET
1200 EAST RIDGEWOOD AVE
152 WEST STREET
1275 YORK AVE
145 HAZZARD AVENUE
246 FEDERAL ROAD C-21
677 SOUTH MAIN STREET
64 ROBBINS STREET
DIV. OF NEONATOLOGY
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
3RD FLOOR
1678 ASYLUM AVE
42 SHERWOOD PL
STE 203
#202
422 WESTERN HWY
171 RAMAPA RD. STE. 4
PH-4 ROOM 124
SUITE 310
SUITE 3
1075 CENTRAL PARK AVE
SUITE 2
BOX 351
DFCI MILFORD CANCER CENTER
SUITE 306-307
3RD FLOOR
CCBH
282 WASHINGTON ST
Page 10 of 54
City
State Zip Code
Phone Number
PASCOAG
ROCKY HILL
WEST HARTFORD
GREENWICH
NEW YORK
DANBURY
NEW HAVEN
TRUMBULL
PROVIDENCE
TAPPAN
GARNERVILLE
NEW YORK
GREENWICH
TRUMBULL
FAIRFIELD
WORCESTER
PROVIDENCE
WEST HARTFORD
SAN DIEGO
NEW YORK
HARTFORD
SPRINGFIELD
SCARSDALE
NEW YORK
NEW HAVEN
WARWICK
OREFIELD
GREENWICH
LINCOLN
NEWTOWN
STRATFORD
GREENWICH
MIDDLETOWN
MILFORD
NEW HAVEN
NEWINGTON
WATERBURY
NEW YORK
SPRINGFIELD
ROCKY HILL
BOSTON
STAMFORD
BARRE
RIDGEWOOD
DANBURY
NEW YORK
ENFIELD
BROOKFIELD
CHESHIRE
WATERBURY
HARTFORD
RI
CT
CT
CT
NY
CT
CT
CT
RI
NY
NY
NY
CT
CT
CT
MA
RI
CT
CA
NY
CT
MA
NY
NY
CT
RI
PA
CT
RI
CT
CT
CT
CT
MA
CT
CT
CT
NY
MA
CT
MA
CT
MA
NJ
CT
NY
CT
CT
CT
CT
CT
401-567-0800
860-227-0791
860-231-5530
914-922-2241
646-227-3813
203-791-9777
203-980-5544
203-452-7081
401-444-7396
914-922-2241
845-947-1772
212-305-5020
203-869-1145
203-268-2882
203-259-7709
508-368-5424
401-854-2504
860-521-5575
918-429-7518
646-227-3813
860-241-0448
413-794-3233
914-472-4300
646-227-3813
203-785-2540
401-737-7000
610-799-7082
845-639-0007
401-334-2949
203-426-0045
203-375-8332
203-622-0808
860-262-5000
617-632-5917
203-865-0068
860-666-6951
203-709-6168
646-558-0803
860-741-6572
615-224-5438
617-355-8537
203-406-0554
978-355-4541
201-444-0868
203-791-5155
646-227-3813
860-749-1909
203-740-8637
203-250-7577
215-442-5046
860-545-8950
02859-0312
06067-3576
06117-2791
06830-5668
10065-6007
06810-5627
06511-3724
06611-1351
02903-4923
10983-1311
10923-1564
10032-3720
06831-5100
06611-4552
06824-6018
01605-2038
02903-4923
06107-1941
92103-9000
10065-6007
06106-1880
01199-1619
10583-3242
10065-6007
06519-1124
02886-2759
18069-2044
06830-4515
02865-1397
06470-1443
06615-5843
06830-4648
06457-7023
01757-3026
06511-1542
06111-2631
06706-1127
10016-4852
01104-3300
06067-3576
02115-5754
06906-1420
01005-0304
07450-3957
06810-6361
10065-6007
06082-9999
06804-2647
06410-3158
06708-2613
06106-3322
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1174555437
1669441499
1215191283
1346316544
1134288376
1871554709
1790902807
1962441022
1598876989
1720069552
1174714117
1902208077
1104086925
1629124359
1760564710
1225036528
1235192766
1992892319
1528039195
1942285242
1477867331
1154524767
1730339250
1679556856
1609890540
1720073406
1346211703
1760425904
1376518977
1831153394
1033111356
1699736686
1982819058
1154425833
1629144886
1417103193
1750315610
1326235466
1639160807
1639144843
1215916697
1750329421
1639453996
1477530665
1053489864
1457464067
1447250287
1144367913
1699757278
1801879861
1528401304
CORWIN
COSTABILE
COTE
COTTER-SWETZ
COTTERELL
COULTMAN
COURTEMANCHE
COUSIN
COUTANT
COUTURE
COVEY
COZMUTA
CRAGO
CRAIG
CREW
CRISCENZO
CRON
CROSSON
CROWE
CUCKA
CUDAHY
CUELLO
CUEVAS
CULLEN
CUMMINGS
CUNNINGHAM
CUNNINGHAM
CUOMO
CUPINO
CURITORE
CURRAN
CUTLER
CWIK
CYDYLO JR
CZUCZKA
D'ANGELO
D'ONOFRIO
DAHI
DAHL
DAHLSTROM
DALBAGNI
DALBERG
DALTON
DALY
DAMAN
DAMON
DAMORE
DANE
DANGELICA
DANIEL
DANIELS-MILLER
JOHN
DAVID
JILL
ROBIN
MARK
ANGELA
ABBIE
JEFFREY
ROGER
CHRISTINE
CINTHIA
BOGDAN
AIMEE
MARC
RUSSELL
DONNA
JULIA
CHRISTINE
JOHN
MICHAEL
PATRICK
ADOREE
FRANKIE
PATRICK
CATHERINE
DAVID
JAMES
CHRIS
ELMER
DANIELLE
DONALD
COREY
RONALD
JOSEPH
PETER
LOREN
MARIE
PARASTOO
DOUGLAS
GERALD
GUIDO
RICKARD
MEGHAN
KAREN
LAUREN
EDWIN
MARY BETH
SAMANTHA
MICHAEL
MICHELLE
LINDA
17 WOODLAND RD
CHILDREN'S & WOMAN'S PHYSICIAN
300 LONGWOOD AVE
34 PARK STREET
1000 SILVER STREET
CHILDREN''S & WOMAN''S PHYSICI
701 ENFIELD STREET
5 PERRYRIDGE ROAD
55 PECK ROAD
455 LEWIS AVENUE
1201 WEST MAIN STREET
710 MAIN STREET
1275 YORK AVE
1090 MERIDEN WATERBURY TNPKE
635 WEST 168TH STREET
199 GOOSE LANE
800 HOWARD AVE
263 MAIN STREET SUITE 304
6 GREENWICH OFFICE PARK
641 CLARK AVE STE B
300 CEDAR STREET
9 VICTORIA LANE
263 FARMINGTON AVE
324 FLANDERS RD
593 EDDY STREET
850 AQUIDNECK AVE STE A1
6 GREENWICH OFFICE PARK
27 HOSPITAL AVE
5300 KIDSPEACE DRIVE
2140 MENDON ROAD
950 CAMPBELL AVE
450 BROOKLINE AVENUE
652 BOSTON POST ROAD
146 FARMINGTON AVENUE
1563 POST ROAD EAST
300 LONGWOOD AVE
64 ROBBINS STREET
1275 YORK AVE
15 PARKMAN ST
119 BELMONT STREET
1275 YORK AVE
101 HOSPITAL CENTER BLVD
300 LONGWOOD AVE
NATCHAUG HOSPITAL
100 RETREAT AVE
64 PALOMBA DR
CHILDREN'S & WOMAN'S PHYSICI
130 DIVISION
1275 YORK AVE
593 EDDY STREET
36 EAST MAIN STREET
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
755 N BROADWAY STE. 500
100 WOODS RD
GREENWICH HOSPITAL
SUITE 106
SUITE 100
BLDG 4
PH-4 RM 124
SUITE S169
SUITE 201
DANA-FARBER CANCER INSTITUTE
GRB 1102
189 STORRS RD.
SUITE 603
755 N BROADWAY STE. 400
Page 11 of 54
City
State Zip Code
Phone Number
MADISON
SLEEPY HOLLOW
BOSTON
NEW HAVEN
MIDDLETOWN
VALHALLA
ENFIELD
GREENWICH
TORRINGTON
MERIDEN
WATERBURY
PLANTSVILLE
NEW YORK
CHESHIRE
NEW YORK
GUILFORD
NEW HAVEN
OLD SAYBROOK
GREENWICH
BRISTOL
NEW HAVEN
WESTPORT
FARMINGTON
EAST LYME
PROVIDENCE
MIDDLETOWN
GREENWICH
DANBURY
OREFIELD
CUMBERLAND
WEST HAVEN
BOSTON
GUILFORD
BRISTOL
WESTPORT
BOSTON
WATERBURY
NEW YORK
BOSTON
WORCESTER
NEW YORK
STAFFORD
BOSTON
MANSFIELD
HARTFORD
ENFIELD
SLEEPY HOLLOW
DERBY
NEW YORK
PROVIDENCE
AVON
CT
NY
MA
CT
CT
NY
CT
CT
CT
CT
CT
CT
NY
CT
NY
CT
CT
CT
CT
CT
CT
CT
CT
CT
RI
RI
CT
CT
PA
RI
CT
MA
CT
CT
CT
MA
CT
NY
MA
MA
NY
VA
MA
CT
CT
CT
NY
CT
NY
RI
CT
203-245-3929
914-922-2241
617-355-8537
203-974-7016
860-262-5000
914-922-2241
860-741-6572
914-984-2552
860-482-8588
860-257-4131
203-573-4885
860-378-2891
646-227-3813
203-272-8222
212-305-5020
203-458-2888
203-785-4216
860-395-6671
203-869-1145
860-582-6603
203-785-7571
203-227-2556
860-679-5582
860-739-6953
401-854-2504
401-846-9082
203-869-1145
203-797-0008
610-799-7082
401-334-2116
203-932-5711
617-632-5917
203-459-5214
860-583-6630
203-319-3939
617-355-8537
203-573-6056
646-227-3813
617-726-0875
508-334-8692
646-227-3813
800-645-3055
617-355-8537
860-456-1311
860-246-3533
860-745-6248
914-922-2241
616-464-0027
646-227-3813
401-854-2504
860-674-0333
06443-2342
10591-1077
02115-5724
06519-1109
06457-7023
10595-1530
06082-2961
06830-4608
06790-6106
06451-2121
06708-3105
06479-1567
10065-6007
06410-7130
10032-3270
06437-2115
06511-6624
06475-2529
06831-5100
06010-4068
06519-1612
06880-2155
06030-5386
06333-1735
02903-4923
02842-5390
06831-5100
06810-5961
18069-2044
02864-3833
06516-2770
02215-5418
06437-2719
06010-4218
06880-5602
02115-5724
06708-2613
10065-6007
02114-3117
01605-2903
10065-6007
22554-6200
02115-5724
06250-1683
06106-2528
06082-3850
10591-1076
06418-1326
10065-6007
02903-4923
06001-3801
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1770833170
1164593950
1275532707
1760518724
1386726016
1417048505
1386703528
1346272937
1376562991
1437310802
1942218540
1295771970
1659541522
1467487421
1396874723
1942308945
1134302334
1972587038
1952584815
1619249539
1194754549
1255365458
1053331462
1154742187
1902972110
1750601225
1689995862
1003890641
1235286931
1710320098
1912927781
1326350596
1306913785
1043210297
1104089523
1093867913
1629045802
1427078153
1932213584
1528225414
1487653226
1619990868
1033223219
1588631964
1376525964
1720211444
1245439033
1801947924
1528310067
1831263425
1760405542
DANN
DANNI
DANZA
DANZIGER
DAOUD
DAPICE
DARGAN
DARLING
DATTA
DAVE
DAVID
DAVIDOW
DAVIDS
DAVIES
DAVIES
DAVIS
DAVIS
DAW
DAWICKI
DAY
DAY
DE ANGELIS
DE ESCOBAR
DE LEON
DEACKOFF
DEBIASI
DEBIASI
DECANDIA
DECASTRO
DECKER
DECUIR
DEFINA
DEITZ
DELANEY
DELAPORTA
DELFINI
DELISLE
DELISLE
DELLINGER
DELOS
DELUCA
DELVECCHIO
DELVECCHIO
DEMAC
DEMATTEO
DEMAYO
DEMELLO
DEMONE
DEMPSEY
DEMPSEY
DEMPSEY
SARAH
MICHAELI
ROBERTA
HENRY
SHERIF
JOSEPH
AMARJEET
ALISA
INDRANI
AMIE
MARIA
PETER
MATTHEW
CARRIE
JEFFREY
LAURA
PETER
MANJAREE
ERIN
JULIE
SUSAN
SYDNEY
MARCOS
JANICE
NANCY
ERIN
RALPH
GREGORY
MANUEL
TAMARA
PETE
VINCENT
JEFFREY
VERONICA
SARA
RONALD
JEFFREY
SUSAN
SHARON
DEMETRIS
JEFFREY
JOHN
RONALD
ALEX
RONALD
JOSEPH
DOMINIC
JAIMEE
BRENTON
BRIAN
THOMAS
950 CAMPBELL AVE.
113 UNIVERSITY PLACE
204 CHERRY ST
297 CHURCH STREET
435 LEWIS AVENUE
545 MILL PLAIN ROAD
CONNECTICUT VALLEY
500 CHASE PARKWAY
130 DIVISION
CHILDREN'S & WOMAN'S PHYSICI
CHILDREN'S & WOMAN'S PHYSICI
100 MLK JR BLVD STE 300
450 BROOKLINE AVE
77R WEST MAIN ST
340 BROAD ST
950 CAMPBELL AVENUE
75 EASTERN POINT ROAD
139 HAZARD AVE
300 LONGWOOD AVENUE
500 CHASE PARKWAY
593 EDDY STREET
101 HOSPITAL ROAD
171 GRANDVIEW AVE.
400 CAPITAL BLVD
CAPITOL REGION MENTAL HEALTH C
WINCHESTER CHEST CLINIC
20 YORK STREET
1461 SOUTH BRITAIN ROAD
CHILDREN''S & WOMAN'S PHYSICI
281 LINCOLN STREET
2150 MAIN STREET
98 ELM STREET
1261 POST ROAD
CHILDREN'S & WOMAN'S PHYSICI
186 PROVIDENCE STREET
1204 CHAPEL ST.
242 WEST MOUNTAIN RD
COLUMBIA UNIV MEDICAL CENTER
1 LIBERTY SQUARE
6 GREENWICH OFFICE PARK
40 CROSS STREET
75 HOLLY HILL LANE
281 HARTFORD TPKE
530 MIDDLEBURY ROAD
1275 YORK AVE
56 FRANKLIN STREET
2150 MAIN STREET
100 MLK JR BLVD STE 300
130 DIVISION
242 WEST MOUNTAIN RD
163 BROADWAY
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
SUITE 1010
1000 SILVER STREET
222 WESTCHESTER AVE
266 NORTH STREET STE A
DANA-FARBER CANCER INSTITUTE
TOTAL MEDICAL CARE, FLR 1
BLDG. 97 1ST FLOOR
SUITE 101
3RD FLOOR
500 VINE STREET
789 HOWARD AVE
TOMPKINS 209
707 E. MAIN ST
SUITE 200-A
19 BRADHURST AVE. STE 200N
THUNDERMIST HEALTH CENTER
622 W 168TH STREET PH-1270
SUITE 300
LEVEL C
SUITE 202-B
Page 12 of 54
City
State Zip Code
Phone Number
WEST HAVEN
NEW YORK
MILFORD
NAUGATUCK
MERIDEN
FAIRFIELD
MIDDLETOWN
WATERBURY
DERBY
WHITE PLAINS
NEWBURGH
WORCESTER
BOSTON
HOPKINTON
WINDSOR
WEST HAVEN
GROTON
ENFIELD
BOSTON
WATERBURY
PROVIDENCE
EAST PATCHOGUE
WATERBURY
ROCKY HILL
HARTFORD
NEW HAVEN
NEW HAVEN
SOUTHBURY
MIDDLETOWN
WORCESTER
SPRINGFIELD
WEST HAVEN
FAIRFIELD
HAWTHORNE
WEST WARWICK
NEW HAVEN
LENOX
NEW YORK
NEW BRITAIN
GREENWICH
NORWALK
GREENWICH
VERNON
MIDDLEBURY
NEW YORK
WATERBURY
SPRINGFIELD
WORCESTER
DERBY
LENOX
COLCHESTER
CT
NY
CT
CT
CT
CT
CT
CT
CT
NY
NY
MA
MA
MA
CT
CT
CT
CT
MA
CT
RI
NY
CT
CT
CT
CT
CT
CT
NY
MA
MA
CT
CT
NY
RI
CT
MA
NY
CT
CT
CT
CT
CT
CT
NY
CT
MA
MA
CT
MA
CT
203-932-5711
212-674-2447
203-876-0545
203-729-0563
203-694-8630
203-255-6330
860-262-5868
203-755-6677
616-464-0027
914-922-2241
914-922-2241
508-755-4861
617-632-3484
508-435-5506
860-688-8888
203-932-5711
860-433-2070
860-253-0037
617-355-8537
203-755-6677
401-444-4201
631-654-7236
203-757-9336
860-221-0797
860-297-0999
203-785-4198
203-688-9503
203-586-2439
914-922-2241
508-334-8692
860-741-6572
203-933-6974
203-255-0770
914-922-2241
401-767-4100
203-787-4770
413-637-2845
212-305-4623
860-257-4131
203-869-1145
203-845-2200
203-863-3492
860-872-6016
203-758-1817
646-227-3813
203-709-8864
860-741-6572
508-755-4861
616-464-0027
413-637-2845
860-228-1719
06516-2770
10003-4527
06460-3555
06770-3629
06451-2101
06824-5049
06457-7023
06708-3346
06418-1326
10604-2906
12550-3131
01608-1209
02215-5418
01748-1688
06095-3030
06516-2770
06340-0970
06082-4583
02115-5724
06708-3346
02903-4923
11772-4870
06708-2517
06067-3576
06112-1639
06519-1304
06510-3202
06488-1139
10940-2650
01605-2138
01104-3300
06516-6839
06824-6072
10532-2140
02893-2508
06511-4777
01240-1111
10032-3702
06051-2636
06831-5100
06851-4661
06830-6098
06066-4784
06762-2500
10065-6007
06706-1253
01104-3300
01608-1209
06418-1326
01240-1111
06415-1022
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1295973204
1962718627
1215013941
1174636260
1124122148
1295721017
1528008489
1386838803
1295984383
1699062505
1043214604
1346273869
1063565844
1679581623
1427360999
1093094401
1174580302
1326046624
1467709097
1326009473
1619065786
1003059239
1609818038
1447252812
1366444895
1518073972
1811056054
1548228117
1952681322
1710962709
1346338837
1427314350
1578750808
1023140092
1700195807
1891777355
1669491775
1497700652
1538261599
1093808883
1891857553
1982729174
1083676324
1841279262
1720064330
1417042672
1134194046
1194740399
1396723151
1407921067
1952326472
DENIS
DENNERT
DENOWITZ
DESAI
DESAI
DESCHAMPS
DESHPANDE
DESI
DESIKAN
DESMOND
DESPOT
DETRICK
DEVARAJ
DEVINSKY
DEVIVO
DHILLON
DI ANNI
DIAMOND
DIAS
DIAS
DIAZ
DICKSTEIN
DIEFENDERFER
DIETTE
DIETZ
DIFAZIO
DIKE
DILLIS
DIPIETRO
DISA
DITEODORO
DITULLIO
DIXON
DOBAS
DOCCHIO
DOCU
DODDAMANE
DOHERTY
DOHR
DOLAN
DOLL
DOMMU
DONAHUE
DONALD
DONAT
DONATO-DUQUE
DONOVAN
DONSHIK
DORAN
DORF
DORMAN
SANDRA
NANCY
JILL
AMIT
UDAY
PATRICIA
JUDITH
JANICE
VARDHINI
CHRISTOPHER
KATY
JAMES
SHANTHI
ORRIN
RYAN
PAMELA
BROOKE
CHRISTOPHER
ANDREA
BEATRICE
ESPERANZA
AARON
SHAUNA
KEVIN
STEPHANIE
FRANK
CHARLES
SHAY
ANNA
JOSEPH
JACK
NANCY
PETER
DANIEL
MICHAEL
EDUARD
SANTOSH
LISA
KAY
THOMAS
CHERYL
VERNON
TIMOTHY
EDWARDSON
SHERRI
WELDA
LESLIE
PETER
DOUGLAS
BRYAN
ROBERT
5300 KIDSPEACE DRIVE
3180 MAIN STREET
162 KINGS HWY NORTH
1122 HIGHLAND AVENUE
1275 SUMMER STREET,SUITE 102
CHILDREN'S & WOMENS PHYSICIAN
300 BOSTON POST ROAD
410 SAYBROOK ROAD
CHILDREN'S & WOMAN'S PHYSICI
112 MANSFIELD AVE
115 TECHNOLOGY DR, A100
BREWSTER RD
1400 BEDFORD STREET
223 EAST 34TH ST
759 CHESTNUT STREET
201 WEST MAIN STREET
35 MILLBURY STREET
CENTRAL CONNECTICUT STATE UNIV
80 SEYMOUR STREET
409 BANTAM ROAD, SUITE A-2
34 PARK ST
20 YORK STREET, CB-2041
1400 STATE STREET
88 NOBLE AVE
1290 SUMMER STRET
30 SHELBURNE RD
CONNECTICUT VALLEY
300 LONGWOOD AVE
2600 WAYLAND ROAD
1275 YORK AVE
90 MORGAN STREET
300 LONGWOOD AVE
192 WESTBROOK RD.
3704 MAIN ST
6 DAVIS ROAD WEST
4849 PAULSEN ST
555 WILLARD AVE
450 BROOKLINE AVENUE
1 NEW HAVEN AVE
1160 SILAS DEANE HIGHWAY
500 ENTERPRISE DR
195 TUNXIS HILL CUTOFF SOUTH
1275 YORK AVE
64 ROBBINS STREET
1275 YORK AVE
5300 KIDSPEACE DRIVE
159 WEST PUTNAM AVENUE
47 JOLLEY DRIVE
14 EAST HAMPTON ROAD
1450 WASHINGTON BLVD
555 WILLARD AVE
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
SUITE 105
FIRST FLOOR
266 NORTH STREET, STE. A
755 N BROADWAY STE. 400
1615 STANLEY ST
SUITE 3600
BOX 351 - 1000 SILVER STREET
SUITE # 303
SUITE 314
DA2116
SUITE 101
SUITE 305
Page 13 of 54
City
State Zip Code
Phone Number
OREFIELD
BRIDGEPORT
WESTPORT
CHESHIRE
STAMFORD
NEWBURGH
WEST HAVEN
MIDDLETOWN
SLEEPY HOLLOW
WILLIMANTIC
TRUMBULL
BRISTOL
STAMFORD
NEW YORK
SPRINGFIELD
NIANTIC
AUBURN
NEW BRITAIN
HARTFORD
LITCHFIELD
NEW HAVEN
NEW HAVEN
SPRINGFIELD
MILFORD
STAMFORD
STAMFORD
MIDDLETOWN
BOSTON
BERWYN
NEW YORK
STAMFORD
BOSTON
ESSEX
STRATFORD
OLD LYME
SAVANNAH
NEWINGTON
BOSTON
MILFORD
WETHERSFIELD
ROCKY HILL
FAIRFIELD
NEW YORK
WATERBURY
NEW YORK
OREFIELD
GREENWICH
BLOOMFIELD
MARLBOROUGH
STAMFORD
NEWINGTON
PA
CT
CT
CT
CT
NY
CT
CT
NY
CT
CT
CT
CT
NY
MA
CT
MA
CT
CT
CT
CT
CT
MA
CT
CT
CT
CT
MA
PA
NY
CT
MA
CT
CT
CT
GA
CT
MA
CT
CT
CT
CT
NY
CT
NY
PA
CT
CT
CT
CT
CT
610-799-8160
203-372-7200
203-226-6309
203-272-7271
203-325-0764
845-565-5737
203-932-7079
860-685-8950
914-922-2241
440-627-2625
203-880-5556
440-627-2625
203-323-8700
646-558-0859
413-794-3233
860-451-3075
508-832-5917
860-832-1934
860-545-1212
860-361-9660
203-974-7300
203-688-1734
413-787-6700
203-878-3435
203-325-3576
203-276-7058
860-262-5868
617-919-7307
484-401-6109
646-227-3813
203-323-6873
617-355-8537
860-767-1200
203-377-6727
860-434-5565
912-354-3363
860-666-6951
617-632-5925
203-877-5634
860-529-2000
860-882-8673
293-336-1275
646-227-3813
203-573-6056
646-227-3813
610-799-7089
203-869-7080
860-286-5448
860-295-9536
914-401-8031
860-666-6951
18069-2044
06606-4237
06880-2425
06410-1654
06905-5315
12550-3131
06516-1916
06457-4780
10591-1076
06226-2045
06611-5343
06011-0977
06905-5200
10016-4852
01199-1619
06357-7504
01501-2412
06050-2439
06102-5037
06759-3200
06519-1109
06510-3220
01109-2550
06460-4736
06905-5325
06904-9317
06457-7023
02115-5724
19312-2307
10065-6007
06905-5466
02115-5724
06426-1556
06614-4227
06371-2323
31405-4423
06111-2600
02215-5450
06460-0701
06109-4330
06067-3913
06825-4454
10065-6007
06708-2613
10065-6007
18069-2044
06830-5329
06002-3092
06447-1467
06902-2451
06111-2631
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
Service Address Line 2
City
State Zip Code
Phone Number
1659706885
1023239555
1962506105
1033443692
1467667212
1528125671
1346229606
1588622070
1881860310
1801896238
1205912235
1124255658
1356443204
1528109519
1558532747
1285776104
1295826147
1154417293
1750334926
1124027156
1972592848
1265591408
1508006750
1033203914
1578533923
1922023829
1326109471
1720380017
1174594279
1649319708
1255649737
1073740056
1740325596
1851399752
1649291980
1407165780
1528170362
1740408152
1356376453
1447236054
1063583466
1851350524
1902956121
1427135888
1629281423
1407086036
1568411973
1386657096
1225258643
1558402818
1174654941
DORVAL
DOS REIS
DOS SANTOS
DOUGLAS MATTY
DOW
DOWNER
DOWNEY
DOYLE
DOYLE
DOZOR
DREISBACH
DRESCHER
DRESDNER
DREW
DREW
DRISCOLL
DROST
DRUGGE
DUBE
DUBEY
DUBIN
DUBOCZY
DUDLEY
DUDLEY
DUFFY
DUGAN
DUGAN
DUGO
DUKE
DUPLINSKY
DURHAM
DURHAM
DVARSKAS
DVORETZKY
DWENGER
DWIRA
DWORKIN
DYBOWSKI
DYER
EASTHAM
EDDY
EDELGLASS
EDELMANN
EDELSTEIN
EHDAIE
EHLE
EHRLICH
EIBEL
EICKHORST
EISENBERG
EKLUND
AMY
ROBERTO
JEANNE
HOLLY
JAMES
ALLISON
ROBERT
DAVID
MICHAEL
ALLEN
VICTORIA
CAROL
ROBERT
BJ
SHANNON
WILLIAM
PAUL
RHETT
GEOFFREY
ANJANI
HOWARD
JOHN
CATHERINE
JOHN
DONNA
JENNIFER
SUSAN
MICHAEL
DANIELLA
THOMAS
JUANITA
MICHELLE
RICHARD
ISRAEL
RANDALL
KOBINA
BRAD
SUSAN
MARTHA
JAMES ANDREW
BRIAN
JOHN
CHRISTOPHER
BARBARA
BEHFAR
LEAH
TIMOTHY
LINDA
KIMBERLY
AMY
SHERALD
400 CAPITAL BLVD
40 CROSS STREET
CHILDREN'S & WOMEN'S PHYSICI
23 WAUREGAN RD
181 NORTH MAIN ST.
1106 NORTH AVENUE
1275 YORK AVE
1515 ALLEN STREET
22 FIFTH STREET #201
CHILDREN'S & WOMAN'S PHYSICI
1000 SILVER STREET
CMRC
162 KINGS HIGHWAY NORTH
82 NORWICH WESTERLY RD
291 WHITNEY AVE
415 MAIN STREET
950 CAMPBELL AVE
50 GLENBROOK ROAD
635 WEST 168TH STREET
CHILDREN'S & WOMAN'S PHYSICI
435 LEWIS AVENIUE
1000 SILVER STREET
759 CHESTNUT STREET
172 MT. PLEASANT ROAD
361 MAIN STREET
130 DIVISION
401 WEST THAMES ST
20 YORK STREET, CB-2041
55 WILLOW ST
1220 WHITNEY AVENUE
201 W MAIN ST.
915 RIVER RD
311 WOODTICK RD
22 WESTFIELD AVENUE
3 BROOK STREET
75 SEMINARY HILL RD.
CHILDREN''S & WOMAN''S PHYSICI
300 LONGWOOD AVE
3 WOODLAND RD. SUITE 216
1275 YORK AVE
1224 FARMINGTON AVE
1BRADLEY ROAD
42 SHERWOOD PL
CAPITOL REGION MENTAL HEALTH C
1275 YORK AVE
113 ELM STREET
4 CORPORATE PARK
36 BRIDGE WAY
73 SAND PIT RD STE 207
CHILDREN'S & WOMAN'S PHYSICI
AVON PEDIATRICS, LLC
3RD FLOOR
SUITE 300
755 NORTH BROADWAY
ROCKY HILL
NORWALK
SLEEPY HOLLOW
BROOKLYN
WALLINGFORD
BRIDGEPORT
NEW YORK
SPRINGFIELD
STAMFORD
HAWTHORNE
MIDDLETOWN
GREENFIELD
WESTPORT
NORTH STONINGTON
NEW HAVEN
WEST HAVEN
WEST HAVEN
STAMFORD
NEW YORK
HAWTHORNE
MERIDEN
MIDDLETOWN
SPRINGFIELD
NEWTOWN
MANCHESTER
DERBY
NORWICH
NEW HAVEN
MYSTIC
HAMDEN
NIANTIC
MIDDLETOWN
WOLCOTT
ANSONIA
LAKEVILLE
CARMEL
HAWTHORNE
BOSTON
STONEHAM
NEW YORK
WEST HARTFORD
WOODBRIDGE
GREENWICH
HARTFORD
NEW YORK
ENFIELD
SHELTON
PASCOAG
DANBURY
WHITE PLAINS
AVON
CT
CT
NY
CT
CT
CT
NY
MA
CT
NY
CT
NH
CT
CT
CT
CT
CT
CT
NY
NY
CT
CT
MA
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
NY
NY
MA
MA
NY
CT
CT
CT
CT
NY
CT
CT
RI
CT
NY
CT
860-227-0791
203-845-2995
914-366-3400
860-774-0876
203-269-4443
203-579-6222
646-227-3813
413-783-9114
203-324-4747
914-922-2241
860-262-5000
603-547-3311
203-226-6309
860-599-2469
203-624-0570
203-933-2464
203-932-5711
203-324-5719
212-305-5020
914-922-2241
203-284-1340
860-262-5000
413-794-3233
230-426-0045
860-646-9929
616-464-0027
860-859-4609
203-688-1734
860-245-1612
203-287-8570
860-451-3099
860-704-4126
203-879-9372
203-735-6144
860-435-8863
845-225-3400
914-922-2241
617-355-8537
781-979-0661
646-227-3813
860-313-0947
203-389-1427
203-869-0502
860-297-0999
646-227-3813
860-257-4131
203-880-5000
401-567-0800
203-792-4151
914-922-2241
860-676-1111
HUSKY Health Connecticut / Charter Oak Health Plan
19 BRADHURST AVE. STE 1400
ONE VERNEY DRIVE
FIRST FLOOR
SUITE 303
UNIT 1C
PH-4 RM 124
19 BRADHURST AVE. STE 200N
BLDG 301
BOX 718
19 BRADHURST AVE. STE. 206
500 VINE STREET
SUITE 301
SUITE186
222 WESTCHESTER AVE STE 202
34 DALE ROAD SUITE 205
Page 14 of 54
06067-3576
06851-4661
10591-1076
06234-1924
06492-3711
06604-2701
10065-6007
01118-1803
06905-5014
10532-2140
06457-7023
03047-5000
06880-2425
06359-1744
06511-3724
06516-4265
06516-2770
06902-2914
10032-3720
10532-2140
06451-2101
06457-7203
01199-1619
06470-1443
06040-4127
06418-1326
06360-7167
06510-3220
06355-2636
06517-8200
06357-7504
06457-3921
06716-2771
06401-1158
06039-0718
10512-1921
10532-2140
02115-5724
02180-1702
10065-6007
06107-2668
06525-2296
06830-5638
06112-1639
10065-6007
06082-3700
06484-6266
02859-0312
06810-4015
10604-2926
06001-4312
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1235201856
1528217296
1649250366
1518129923
1629094206
1063412518
1114211349
1730150855
1043267537
1427102565
1427040708
1144200031
1083769921
1073594594
1316975097
1619935285
1740342930
1376603365
1902895402
1356780860
1356549018
1366403107
1417062357
1063722353
1659471761
1689816340
1649481615
1760408280
1598923393
1073772505
1831307024
1639188808
1497732887
1609944966
1497049126
1215130034
1417998592
1144307414
1326019647
1720050313
1649210170
1023169000
1649458290
1053382978
1912055757
1629268156
1043396112
1821025933
1972713535
1831159367
1831212539
EL TAMER
EL-MALLAWANY
ELFAR
ELFATAH
ELLIS
ELLSWORTH
ELPENORD
ELSON
ELSON
EMILIO
ENNABI
ENNIS, JR
ERWICH
ESKANDER
EVANCHICK
EVANGELISTA
EVANS
EVANS
EVANS
FABBRI
FABBRI
FAIRCHILD
FALES
FALK
FALKOFF
FALLON
FARBER
FARBER
FARINELLA
FASINA
FAUCHER
FAY
FAZELI
FAZIO
FAZZINGA
FEDEN
FEDERMAN
FEINBERG
FEINSTEIN
FEIT
FELDMAN
FELICE
FELIS DAVIES
FENNELL
FERRARO
FERRERI
FETTE M.D.
FICALORA
FILBERT
FILOR
FINK
MAHMOUD
NADER KIM
ABDUL
MAHMOUD
LENWORTH
MICHAEL
CLAIRE
BARRY
JUDITH
ROBERT
KATHLEEN
FRANCIS
LAWRENCE
EMAD
CHRISTINE
JULIANNE
DAPHNE
JOEL
MICHAEL
NICOLA
REMO
LYNN
ROBERT
JOY
ALAN
JACLYN
GREGORY
STEVEN
MONICA
ABIOLA
SHIRLEY
NICHOLAS
POUNEH
ROBERT
NANCY
JEFFREY
DANIEL
DENNIS
MARC
LLOYD
STEVEN
PATRICK
MARY JO
GAIL
ROBERT
RUTH
GERALD
PETER
ELIZABETH
CAROLINE
KENNETH
1275 YORK AVE
CHILDREN'S & WOMENS PHYSICIAN
50 HOSPITAL HILL ROAD
5300 KIDSPEACE DRIVE
701 COTTAGE GROVE RD
255 POMFRET ST.
CHILDREN''S & WOMAN''S PHYSICI
395 PLEASANT ST
761 MAIN AVE
111 EAST AVE., SUITE 214
CHILDREN'S & WOMAN'S PHYSICI
6 GREENWICH OFFICE PARK
420 SOUTH MAIN STREET
299 CAREW ST
2150 MAIN STREET
300 LONGWOOD AVE
20 YORK STREET CB-2041
30 SHELBURNE RD
200 ZACHARY ROAD
1275 YORK AVE
32 TRUMBULL STREET
701 COTTAGE GROVE ROAD
85 CHURCH ST
400 CAPITAL BLVD
30 BUXTON FARMS ROAD
CHILDREN'S & WOMENS PHYSICIAN
1060 DAY HILL ROAD
950 CAMPBELL AVE
245 WHALLEY AVE
64 ROBBINS STREET
161 WEST MAIN STREET
40 WRIGHT ST
ZERO EMERSON PLACE
10 MOTT AVE
25 VALLEY DRIVE
593 EDDY STREET
VA CT (11ACSL)
2875 MAIN STREET
1275 YORK AVE
1 HOPPIN STREET
1090 NEW LONDON AVE
580 COTTAGE GROVE RD
140 SHERMAN STREET
75 HOLLY HILL LANE
319 MAYBROOK RD
20 YORK STREET, CB-2041
1183 NEW HAVEN ROAD
326 SCOTT SWAMP ROAD
1389 WEST MAIN ST
159 WEST PUTNAM AVENUE
375 WILLARD AVENUE
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
19 BRADHURST AVE., SUITE 1400
SHARON HOSPITAL
SUITE A110
45 READE PL
2529 ROUTE 52-STE 3
SUITE 300
E110
3RD FLOOR
171 RAMAPA ROAD STE. 4
MAIL STOP 111I
WING MEMORIAL HOSPITAL
SUITE 112
950 CAMPBELL AVE
CORO WEST
SUITE 103
2ND FLOOR
SUITE 202
SUITE 208
Page 15 of 54
City
State Zip Code
Phone Number
NEW YORK
HAWTHORNE
SHARON
OREFIELD
BLOOMFIELD
PUTNAM
POUGHKEEPSIE
NORTHAMPTON
NORWALK
NORWALK
HOPEWELL JUNCTION
GREENWICH
CHESHIRE
SPRINGFIELD
SPRINGFIELD
BOSTON
NEW HAVEN
STAMFORD
MANCHESTER
NEW YORK
NEW HAVEN
BLOOMFIELD
MIDDLETOWN
ROCKY HILL
STAMFORD
GARNERVILLE
WINDSOR
WEST HAVEN
NEW HAVEN
WATERBURY
DUDLEY
PALMER
BOSTON
NORWALK
GREENWICH
PROVIDENCE
WEST HAVEN
STRATFORD
NEW YORK
PROVIDENCE
CRANSTON
BLOOMFIELD
FAIRFIELD
GREENWICH
WATERBURY
NEW HAVEN
NAUGATUCK
FARMINGTON
WATERBURY
GREENWICH
NEWINGTON
NY
NY
CT
PA
CT
CT
NV
MA
CT
CT
NY
CT
CT
MA
MA
MA
CT
CT
NH
NY
CT
CT
CT
CT
CT
NY
CT
CT
CT
CT
MA
MA
MA
CT
CT
RI
CT
CT
NY
RI
RI
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
646-227-3813
914-493-7997
860-364-4490
610-799-7089
860-243-1864
860-928-7939
914-922-2241
413-584-7787
203-853-9900
203-866-7164
914-922-2241
203-869-1145
203-272-7044
413-739-7680
860-741-6572
617-919-7307
203-688-1734
203-321-0200
603-621-3452
646-227-3813
203-787-4589
860-243-3020
860-344-8606
860-221-0797
203-322-7070
845-947-1772
860-688-5595
203-937-3446
203-974-4138
215-442-5046
508-949-2944
978-466-2994
617-726-7948
203-854-9104
203-622-4301
401-854-2504
203-932-5711
203-375-3411
646-227-3813
401-793-8830
617-645-0840
860-242-0505
203-255-2403
203-276-6151
203-755-3396
203-688-1734
203-723-6855
860-674-8999
203-757-1287
203-869-7080
860-665-0444
10065-6007
10532-2144
06069-0789
18069-2044
06002-3082
06260-0456
12601-3947
01060-3914
06851-1080
06851-6851
12533-3246
06831-5100
06410-3145
01104-2361
01104-3300
02215-5724
06510-3220
06902-9317
03109-5607
10065-6007
06511-6310
06019-3080
06457-3647
06067-3576
06905-1224
10923-1564
06095-5719
06516-2770
06511-3254
06708-2613
01571-3817
01069-1138
02114-2217
06850-3320
06831-5203
02903-4923
06516-2700
06614-4979
10065-6007
02903-4923
02920-3035
06002-3088
06824-5849
06830-6098
06708-3235
06510-3220
06770-5033
06032-0647
06708-3115
06830-5329
06111-2300
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1619162427
1346231974
1164501763
1952554636
1326267840
1396717195
1770671224
1700838547
1710943444
1770542391
1306914528
1255622437
1134553704
1306839485
1659311942
1598989055
1265495790
1629387097
1912063181
1417217431
1962434514
1720027253
1063433738
1780935643
1942282363
1962503854
1326005158
1841228293
1437353182
1568443125
1851516819
1831139237
1619951878
1750356648
1598914129
1598898843
1467713271
1184792343
1942413711
1184652950
1013975614
1669547972
1922168368
1295763902
1093087439
1407900152
1407897564
1023048899
1285662577
1720314164
1598005928
FINLEY
FINN
FINNEGAN
FINNEGAN
FINNIGAN
FIORE
FISCHBEIN
FISCHER
FISCHER
FISHER
FISHMAN
FISKIN
FITZGERALD
FITZSIMMONS
FLAGG
FLANNERY
FLEISCHMAN
FLORIDIA
FLYNN
FLYNN
FLYNN
FOGGLE
FOGLIA
FOGWELL
FOISIE
FOLLETT
FONS
FORBES
FORSHAW
FOSTER
FOWLER
FOX
FRAIOLI
FRANCIS
FRANCIS
FRANK
FRANKEL
FRANKEL
FRATARCANGELI
FRAZER
FRENKEL
FRESE
FRESTON
FREYLE
FRIEDMAN
FRIEDMAN
FRIEDMAN
FRIEDMAN
FRIEDMAN
FUCHS
FUCITO
DAVID
KATHLEEN
SARAH
SHAWN
EDWARD
AMORY
ELLEN
ABRAHAM
JANET
DAVID
THEODORE
ANNA
LAURA
LAURA
JANET
MARY
STEVEN
ERIN
CHERYL
MARYELLIN
WILLIAM
JOHN
CHRISTOPHER
LEIGH
CRAIG
JULIE
ANTHONY
KAREN
DAVID
STANLEY
RACHEL
MARK
ANTHONY
GAETANE
JASMINE
JOSHUA
BRIAN
SHARON
KENNETH
CHAD
TATYANA
LAURA
CARY
JAIME
AMY
DANIEL
DEBORAH
JEFFREY
STEVEN
YONATHAN
LISA
1275 YORK AVE
50 STANIFORD ST
555 WILLARD AVENUE
67 SAND PIT ROAD
69 SHERMAN STREET
6 GREENWICH OFFICE PARK
355 HIGHLAND AVE SUITE 101
100 MLK JR BLVD STE 300
201 W MAIN ST
450 BROOKLINE AVENUE
670 PROSPECT AVE
34 PARK STREET
1 TOWNE PARK PLZ
PAMELA ROBUSTELLO
555 WILLARD AVE
800 CROSS RIVER ROAD
800 HOWARD AVE
1389 WEST MAIN STREET
2 WAKE ROBIN RD SUITE 202
UCONN HEALTH CENTER PSYCHIATRY
500 CHASE PARKWAY
593 EDDY STREET
56-45 MAIN STREET
CHILDREN'S & WOMENS PHYSICIAN
97 ELM STREET
1268 MAIN ST
45 SOUTH MAIN STREET
13 PARKLAWN DRIVE
500 CHASE PARKWAY
1625 STRAITS TURNPIKE
593 EDDY STREET
1 ELM STREET
44 WASHINGTON STREET
159 WEST PUTNAM AVENUE
1275 YORK AVE
40 CROSS STREET
20 YORK ST
64 ROBBINS STREET
2559 DIXWELL AVENUE
410 SAYBROOK ROAD
CONNECTICUT VALLEY HOSPITAL
1717 ST. CHARLES AVENUE
263 FARMINGTON AVE
909 49TH STREET
CHILDREN'S & WOMENS PHYSICIAN
223 EAST 34TH ST
CHILDREN'S & WOMAN'S PHYSICI
153 SOUTH MAIN STREET
909 49TH STREET
CHILDREN'S & WOMAN'S PHYSICI
34 PARK STREET
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
S50-5
SUITE 208
DANA-FARBER CANCER INSTITUTE
75 SEMINARY HILL RD.
SUITE 325
263 FARMINGTON AVE MC2103
W-LL300
755 NORTH BROADWAY
SUITE 101
SUITE 211
STE 108
SUITE 2A
SUITE 103
SUITE 300
TOMPKINS 209
1000 SILVER STREET
UCONN HEALTH CENTER
755 NORTH BROADWAY
19 BRADHURTS AVE. STE 1400
503 GRASSLANDS RD STE 201
Page 16 of 54
City
State Zip Code
Phone Number
NEW YORK
BOSTON
NEWINGTON
DANBURY
69 SHERMAN STREET
GREENWICH
CHESHIRE
WORCESTER
NIANTIC
BOSTON
HARTFORD
NEW HAVEN
NORWICH
CARMEL
NEWINGTON
KATONAH
NEW HAVEN
WATERBURY
LINCOLN
FARMINGTON
WATERBURY
PROVIDENCE
FLUSHING
SLEEPY HOLLOW
OLD SAYBROOK
NEWINGTON
WEST HARTFORD
BETHEL
WATERBURY
MIDDLEBURY
PROVIDENCE
TUCKAHOE
BROOKLINE,MA
GREENWICH
NEW YORK
NORWALK
NEW HAVEN
WATERBURY
HAMDEN
MIDDLETOWN
MIDDLETOWN
NEW ORLEANS
FARMINGTON
BROOKLYN
SLEEPY HOLLOW
NEW YORK
HAWTHORNE
NEWTOWN
BROOKLYN
VALHALLA
NEW HAVEN
NY
MA
CT
CT
CT
CT
CT
MA
CT
MA
CT
CT
CT
NY
CT
NY
CT
CT
RI
CT
CT
RI
NY
NY
CT
CT
CT
CT
CT
CT
RI
NY
MA
CT
NY
CT
CT
CT
CT
CT
CT
LA
CT
NY
NY
NY
NY
CT
NY
NY
CT
646-227-3813
617-643-0604
860-666-6951
203-853-0003
203-255-0468
203-869-1145
203-272-1208
508-755-4861
869-451-3001
617-632-5917
860-233-2600
203-974-7016
860-887-0010
845-225-3400
860-666-6951
914-763-8151
203-785-4216
203-753-6776
401-333-1656
860-480-6501
203-755-6677
401-854-2504
718-670-2127
914-366-3400
860-388-4439
860-665-0039
860-231-1233
203-770-3423
203-755-6677
203-577-6550
401-854-2504
914-961-2515
617-232-9600
203-869-7080
646-227-3813
203-845-2200
203-688-9503
215-442-5046
203-248-0072
860-685-8950
860-262-5868
504-529-6778
860-679-5001
914-962-8290
914-366-3400
646-558-0859
914-922-2241
203-270-7592
914-962-8290
914-922-2241
203-974-7016
10065-6007
02114-2517
06111-2631
06810-4032
06824-5821
06831-5100
06410-2551
01608-1209
06357-3777
02215-5418
06105-4240
06519-1109
06360-2247
10512-1921
06111-2631
10536-0800
06511-6624
06708-3104
02865-4241
06030-2103
06708-3346
02903-4923
11355-5045
10591-1076
06475-4144
06111-3038
06107-2402
06801-1043
06708-3346
06762-1836
02903-4923
10807-3918
02445-7130
06830-5329
10065-6007
06851-4661
06510-3202
06708-2613
06514-1809
06457-4780
06457-7023
70130-5223
06030-0001
11219-2923
10591-1076
10016-4852
10532-2140
06470-5310
11219-2923
10595-1593
06519-1109
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
Service Address Line 2
City
State Zip Code
Phone Number
1679715528
1093023806
1467450395
1285746362
1760444301
1548397920
1861437477
1134394109
1972545689
1336474055
1790891323
1710058318
1104040112
1801978622
1629238670
1306868138
1619085388
1356355515
1043383151
1730143124
1821227810
1013970102
1952304263
1144263765
1912153032
1457575896
1174559165
1043409667
1386644128
1770670358
1285950907
1962665570
1356303671
1225205206
1821307653
1538282249
1659341675
1740339183
1841379534
1770704736
1639306269
1598727836
1265469076
1952490245
1912212358
1437126018
1841268810
1114229382
1093866584
1982882239
1023370186
FULLER
FULLER
FULLER
FUSCO
GABOR, DMD, PC
GAEV
GAGNE
GAINES-CARDONE
GALAN
GALEN
GALLAGHER
GALLALEE
GALLANT
GALLO
GANDA
GANLY
GANNON
GARCIA
GARCIA
GARCIA AGUILAR
GARCIA-ARACENA
GARCIA-QUINONES
GARDEN
GARDNER
GARDNER
GARGANO
GARRETT
GARRETT
GARRICK
GARRO
GARVIN
GATEWOOD
GAUDIO
GAY
GAYESKI
GEETTER
GEFFIN
GELBER
GELINAS
GELL
GENDRON
GENNARELLI
GENTILE
GEORGE
GEORGE
GEORGE
GERMANO
GETZ
GEYDA
GHALY
GHANBARI MOTLAGH
KYLE
MONIKA
ROBERT
FAITH
MICHAEL
BENNETT
GERARD
ELIZABETH
ELIZABETH
KENNETH
CAROL
JOHN
PATRICIA
JAMES
ANJALI
IAN
BARBARA
ALFREDO
LUCAS
JULIO
ELENA
SARIBEL
MITCHELL
GINGER
JOANNE
MELISSA
AUDREY
LEILA
RENEE
ARIS
WENDY
ANNA
STEVEN
SARAH
ELAINE
DAVID
JOEL
BARRY
JOHN
JOHN
CARLA
LOUIS
DONALD
DANIEL
DONNA
SUZANNE
THOMAS
HARRY
JAMES
TAMER
MARIA
50 ACADEMY HILL RD
1753 MERIDEN-WATERBURY RD
263 FARMINGTON AVENUE
732 WEST ST
412 CROMWELL AVENUE
167 DWIGHT RD
263 FARMINGTON AVENUE
1290 SUMMER STREET
52 PECK ROAD
1000 SILVER STREET
21 SOUTH ROAD
55 HARRISON AVE
1515 ALLEN STREET
828 TOLL GATE RD
622 WEST 168TH STREET
1275 YORK AVE
CHILDREN'S & WOMAN'S PHYSICIAN
CHILDREN''S & WOMENS PHYSICIAN
CONNECTICUT VALLEY HOSPITAL
1275 YORK AVE
34 PARK STREET
CHILDREN'S & WOMENS PHYSICIAN
622 BANTAM RD
1275 YORK AVE
MHC- VA MEDICAL CENTER
20 YORK STREET, CB-2041
55 NYE ROAD
1 PERRYRIDGE ROAD
CHILDREN'S & WOMAN'S PHYSICI
593 EDDY STREET
43 WOODLAND STREET, STE G-80
23 CEDAR STREET
929 BOSTON POST ROAD
300 LONGWOOD AVE
400 CAPITAL BLVD
100 DEERFIELD AVE
1201 WEST MAIN STREET
1185 SILAS DEANE HIGHWAY
57 NORTH STREET
375 BRIDGEPORT AVENUE
CHILDREN'S & WOMAN'S PHYSICI
SOUNDSHORE MEDICAL CENTER
100 SOUTH STREET
226 WHITE ST
800 CROSS RIVER ROAD
450 BROOKLINE AVENUE
593 EDDY STREET
WOODS 515,ROUTE 413
63 HIGH STREET
500 CHASE PARKWAY
300 GEORGE ST.
PROFESSIONAL BUILDING
POBOX 770
JOHN DEMPSEY HOSPITAL
PLAINFIELD
MILLDALE
FARMINGTON
SOUTHINGTON
ROCKY HILL
LONGMEADOW
FARMINGTON
STAMFORD
TORRINGTON
MIDDLETOWN
FARMINGTON
BRANFORD
SPRINGFIELD
WARWICK
NEW YORK
NEW YORK
WASHINGTONVILLE
CARMEL
MIDDLETOWN
NEW YORK
NEW HAVEN
WHITE PLAINS
BANTAM
NEW YORK
NEWINGTON
NEW HAVEN
GLASTONBURY
GREENWICH
HAWTHORNE
PROVIDENCE
HARTFORD
NEW BRITAIN
OLD SAYBROOK
BOSTON
ROCKY HILL
WINDSOR
WATERBURY
WETHERSFIELD
DANBURY
SHELTON
POUGHKEEPSIE
NEW ROCHELLE
SOUTHBRIDGE
NEW MILFORD
KATONAH
BOSTON
PROVIDENCE
LANGHORNE
EAST HAVEN
WATERBURY
NEW HAVEN
CT
CT
CT
CT
CT
MA
CT
CT
CT
CT
CT
CT
MA
RI
NY
NY
NY
NY
CT
NY
CT
NY
CT
NY
CT
CT
CT
CT
NY
RI
CT
CT
CT
MA
CT
CT
CT
CT
CT
CT
NY
NY
MA
CT
NY
MA
RI
PA
CT
CT
CT
860-564-3015
860-621-5554
860-679-4636
860-559-1978
860-563-1294
413-567-5533
860-763-8716
203-325-3576
860-482-6513
860-262-5000
860-257-4131
203-488-0440
413-783-9114
401-615-3043
212-305-5020
646-227-3813
914-922-2241
845-279-9652
860-262-5000
646-227-3813
203-974-7016
914-698-5544
860-361-6650
646-227-3813
860-594-6365
203-688-1734
860-657-3056
203-869-8353
914-922-2241
401-854-2504
860-533-3091
860-827-0071
860-575-2532
617-919-7307
615-224-5438
860-270-0600
203-573-4885
860-563-2331
203-778-2020
203-929-2121
914-922-2241
914-365-3831
508-764-6356
203-797-1500
914-763-8151
617-632-5917
401-854-2504
267-565-8239
203-467-7418
203-755-6677
203-785-2095
HUSKY Health Connecticut / Charter Oak Health Plan
SUITE 3600
SUITE E
SUITE 100
PH-4 ROOM 476
10 WEATHERVANE DR.
667 STONELEIGH AVE STE.111
1000 SILVER STREET
222 WESTCHESTER AVE. STE.201
555 WILLARD AVE
SUITE 102
19 BRADHURST AVE. STE 200N
GOTHIC PARK
SUITE 5
3RD FLOOR
SUITE 100
SUITE 419
45 READE PL
16 GUION PLACE
DANA-FARBER CANCER INSTITUTE
Page 17 of 54
06374-1600
06467-0770
06030-1000
06489-9999
06067-1834
01106-1769
06030-5386
06905-5325
06790-6107
06457-7203
06032-2410
06405-3607
01118-1803
02886-2721
10032-3270
10065-6007
10992-2242
10512-2455
06457-7023
10065-6007
06519-1109
10604-2926
06750-0757
10065-6007
06111-2600
06510-3220
06033-1281
06830-4607
10532-2140
02903-4923
06105-2363
06052-1301
06475-2143
02115-5724
06067-3576
06095-4252
06708-3105
06109-1185
06810-5629
06484-3844
12601-3947
10802-5502
01550-4051
06776-3483
10536-0800
02215-5418
02903-4923
19047-0036
06512-2315
06488-3346
06511-6624
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1619113446
1144396268
1134227663
1407961733
1962679316
1912167081
1770744518
1548284490
1609186410
1588658934
1457339491
1356313597
1528124278
1720180367
1780632281
1710914825
1164450300
1568522159
1083938955
1477611101
1669581369
1922212984
1477504637
1972591931
1467440420
1952378127
1104893171
1790965150
1194948323
1962518266
1154413920
1174621999
1912986571
1144245184
1326023649
1578681391
1104821560
1710087614
1831158088
1891896700
1245261551
1124123559
1437295979
1043308760
1497173462
1922109891
1093006884
1619971066
1598753006
1730125618
1285714048
GHANIZADEH
GHARAVI
GHODAKE
GIALLOURAKIS
GIAMBANCO
GIANGRANDE
GIANNINI
GIBBS
GIBSON
GIEBISCH
GILL
GILLLEGO
GIORDANO
GIOVETTI
GIOVINE
GIRASOLE
GITLIN
GLADSTEIN
GLASS
GLASSER
GLETZAKOS
GLIDDEN
GLIEBERMAN
GNIADEK
GOBBEE
GODWIN
GOETZ
GOGCU
GOLDBERG
GOLDBERG
GOLDBERG
GOLDBERG
GOLDBERG-BERMAN
GOLDEN
GOLDFRANK
GOLDLUST
GOLDMAN
GOLDNER
GOLDSTEIN
GOLDSTEIN
GOLDWAG
GOLISANO
GOMES
GONSAI
GONZALEZ
GOODSON
GOODWIN
GOOGEL
GORDON
GORICH
GORLITSKY
HALEH
ALI
SHASHI
COSMAS
DEBORAH
LAUREN
NANCY
FRANTZ
ANDREA
ROBERT
THOMAS
AZUCENA
CATHERINE
MARY
ANTHONY
GERARD
JORDAN
ERIC
SEAN
STEVEN
PETER
PATRICIA
OSCAR
THOMAS
ROBERTO
LOYD
JORDAN
SEMSA
JOSEPH
NANCY
RICHARD
SCOT
JUDITH
CHRISTINA
DEBORAH
ERIC
BORIS
STEPHEN
JEFFREY
LAURENCE
DAVID
GARRETT
ANA PAULA
KISHORCHANDRA
NYDIA
SUSAN
KELLY
FREDRIC
EDWARD
GEORGE
MICHELE
238 NEWTOWN TURNPIKE
622 WEST 168TH STREET
547 MAIN STREET
55 FRUIT ST
300 LONGWOOD AVENUE
119 BELMONT STREET
CHILDREN'S & WOMAN'S PHYSICI
593 EDDY STREET
55 LAKE AVENUE, NORTH
1635 CENTRAL AVENUE
175 CAMBRIDGE ST
205-07 HILLSIDE AVENUE
20 YORK STREET, CB-2041
36 BRIDGE WAY
34 SYCAMORE AVENUE
888 WHITE PLAINS RD
1999 MARCUS AVENUE
70 VINE STREET
300 GEORGE ST SUITE 901
73 NORTH WATER STREET
595 MAIN STREET
300 LONGWOOD AVE
10 ELMGROVE AVE.
1389 WEST MAIN ST
1389 WEST MAIN STREET
4 CORPORATE DRIVE
555 WILLARD AVE
CHILDREN''S & WOMAN''S PHYSICI
128 EAST AVENUE
300 LONGWOOD AVENUE
46 WEST AVON RD.
180 OLD HAWLEYVILLE RD, UNIT 4
4 DEARFIELD DRIVE
1000 SILVER STREET
1275 YORK AVE
593 EDDY STREET
32 IMPERIAL AVENUE
40 COMMERCE PARK
201 EAST 69TH STREET
85 SEYMOUR ST
64 ROBBINS ST.
172 MT. PLEASANT ROAD
1132 NEW BRITAIN AVE.
111 PARK STREET
470 MAPLE AVENUE
64 ROBBINS ST
32 FRUIT ST
1268 MAIN STREET
388 HARDSCRABBLE RD
672 STONELEIGH AVE
CHILDREN'S & WOMENS PHYSICIAN
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
PH-4 ROOM 124
BLK 4
2529 ROUTE 52-STE 3
4TH FLOOR
SUITE 2A
SUITE M-18
SUITE 224
SUITE 224
SUITE 386
VA CONNECTICUT HEALTHCARE
19 BRADHURTS AVE. STE 1400
SUITE 102
SUITE 1
MEZZANINE 2C
SUITE 1025
SUITE 1 G
YAW 7B
SUITE 206
C-116
171 RAMAPA RD. STE.4
Page 18 of 54
City
State Zip Code
Phone Number
REDDING
NEW YORK
MIDDLETOWN
BOSTON
BOSTON
WORCESTER
HOPEWELL JUNCTION
PROVIDENCE
WORCESTER
BRIDGEPORT
BOSTON
HOLLIS
NEW HAVEN
PASCOAG
LITTLE SILVER
TRUMBULL
LAKE SUCCESS
NEW BRITAIN
NEW HAVEN
GREENWICH
PORTLAND
BOSTON
PROVIDENCE
WATERBURY
WATERBURY
SHELTON
NEWINGTON
HAWTHORNE
NORWALK
BOSTON
AVON
BETHEL
GREENWICH
MIDDLETOWN
NEW YORK
PROVIDENCE
WESTPORT
MILFORD
NEW YORK
HARTFORD
WATERBURY
NEWTOWN
WEST HARTFORD
NEW HAVEN
HARTFORD
WATERBURY
BOSTON
NEWINGTON
NO SALEM
CARMEL
GARNERVILLE
CT
NY
CT
MA
MA
MA
NY
RI
MA
CT
MA
NY
CT
RI
NJ
CT
NY
CT
CT
CT
CT
MA
RI
CT
CT
CT
CT
NY
CT
MA
CT
CT
CT
CT
NY
RI
CT
CT
NY
CT
CT
CT
CT
CT
CT
CT
MA
CT
NY
NY
NY
203-664-1977
212-305-5020
860-346-3081
617-726-2026
617-355-8537
508-334-8692
914-922-2241
401-854-2504
508-334-8692
203-551-7464
617-726-7797
718-464-5780
203-688-1734
401-567-0800
732-747-9310
203-268-2882
914-962-8290
860-223-1162
203-785-2095
203-531-9354
860-342-4502
617-355-8537
401-274-4445
203-597-0393
203-597-0393
203-538-5682
860-666-6951
914-922-2241
203-854-9607
617-919-7309
860-675-0262
203-744-2663
203-622-9160
860-262-5000
646-227-3813
401-854-2504
203-222-3700
203-878-3531
516-488-4411
860-527-8588
203-573-6215
203-426-0045
860-236-6928
203-562-0223
860-695-7730
203-573-6056
617-724-4000
860-666-5674
914-669-5526
914-441-8504
845-947-1772
06896-2415
10032-3270
06457-2806
02114-2696
02115-5724
01605-2903
12533-3246
02903-4923
01655-0002
06610-2717
02114-2723
11423-2220
06510-3220
02859-0312
07739-1248
06611-4552
11042-3406
06052-1431
06511-6662
06830-5815
06480-1156
02115-5724
02906-4124
06708-3104
06708-3104
06484-6240
06111-2631
10532-2140
06851-5738
02115-5724
06001-3679
06801-3044
06831-5351
06457-7203
10065-6007
02903-4923
06880-4328
06460-3506
10021-5471
06106-5530
06708-2613
06470-1443
06110-2413
06511-5472
06114-1215
06708-2613
02114-2696
06111-3038
10560-1020
10512-4634
10923-1564
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1912164989
1356438451
1447346838
1972671238
1508838509
1679627798
1609847565
1639482334
1841291853
1457501330
1285809673
1164538419
1679693527
1194940155
1073777165
1043310774
1790915569
1972768604
1265503189
1205854213
1831386218
1871533422
1780773119
1861678542
1790931814
1710908611
1730149022
1063618783
1184913717
1518194422
1699880369
1003854878
1477543080
1073556304
1487076394
1962726620
1871851311
1174531172
1033232228
1639103955
1316340797
1881661817
1902881444
1467662601
1295964062
1104800838
1194014282
1053303768
1730278185
1770890246
1104012293
GORMAN
GORSKY
GOTH
GOTTLIEB
GOTTLIEB
GOUDIE
GOULET
GOUTA
GRABOWY
GRAHAM
GRAHAM
GRANIERO
GRANT
GRASSEY
GRASSO
GRAVES
GRAZIANO
GRECO
GREEN
GREEN
GREENBERG
GREENBERG
GREENBERG
GREENE
GREENFIELD
GREVE
GRIMALDI
GRIMES
GRIMSMAN
GROENING
GROSBACH
GROSE
GROTTKAU
GROVER
GRULLON
GRUNSCHEL
GUANCO-MURPHY
GUARDINO
GUERRERA
GUGLIELMO
GUGLIOTTI
GUIDA
GUILLEM
GUNDAJI
GUPTA
GUTIN
GUZEK
HACK
HACKELL
HAENSCH
HAGEN
JONATHAN
THOMAS
MELANIE
DAVID
LARRY
BRETT
MICHELLE
HANADY
MARION
CAROLYN
NICOLE
RICHARD
IRENE
CLAUDIA
ELIZABETH
BARBARA
THOMAS
GABRIELLA
DANIEL
TRACI
DONNA
MICHAEL
WILLIAM
RONALD
JEFFREY
MARK
STEPHANIE
KRISTIN
JASON
PORTIA
NORMAN
CRAIG
BRIAN
IAN
GLENDALIS
BETH
NICOLE
PAUL
ROBERT
THOMAS
CHRISTINA
MANON
JOSE
SURESH
SWAPNIL
PHILIP
GRETCHEN
JASON
JESSE
NANCY
JEAN
70 MAIN STREET
410 SAYBROOK ROAD
CHILDREN'S & WOMAN'S PHYSICIAN
10 MOTT AVE
4697 MAIN STREET
593 EDDY STREET
395 PLEASANT ST
230 S FRONTAGE STREET
84 N. MAIN STREET
220 MAIN STREET, SOUTH
425 GEORGE STREET
4 SHAWS COVE
167 BENEDICT AVENUE
CHILDREN'S & WOMENS PHYSICIAN
6 GREENWICH OFFICE PARK
3300 MAIN STREET STE 4-D
2150 MAIN STREET
263 FARMINGTON AVE
535 EAST 70TH STREET
20 YORK STREET, CB-2041
200 ORCHARD STREET
515 RTE
CHILDREN'S & WOMAN'S PHYSICIAN
6 GREENWICH OFFICE PARK
1275 YORK AVE
593 EDDY STREET
20 YORK STREET, CB-2041
2140 MENDON ROAD
164 HIGH STREET
CHILDREN''S & WOMAN''S PHYSICI
8303 DODGE ST.
674 S HWY 99
55 FRUIT ST
200 WEST ARBOR
300 LONGWOOD AVE
VA CT HEALTHCARE SYSTEM
30 BUXTON FARM ROAD
501 FARMINGTON AVENUE
27 DANBURY ROAD
131 KENT ROAD
500 CHASE PARKWAY
622 HEBRON AVE
1275 YORK AVE
29 LEWIS AVE
34 PARK STREET
1275 YORK AVE
135 COLLEGE ST
593 EDDY STREET
CHILDREN'S & WOMAN'S PHYSICI
181 WHITE STREET
915 RIVER RD
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
10 RONALD REAGAN BLVD.
900 MIX AVE
BLDG 2
STE 205
263 NORTH BREWSTER RD
BAYSTATE MEDICAL PRACTICES
SUITE 207
4C MEDICAL PARK DRIVE
SUITE 201
967 N. BROADWAY
YAW 3E
950 CAMPBELL AVENUE (151D)
SUITE 107
RM 366
4C MEDICAL PARK DRIVE
LITCHFIELD HALL
Page 19 of 54
City
State Zip Code
Phone Number
DANBURY
MIDDLETOWN
WARWICK
NORWALK
BRIDGEPORT
PROVIDENCE
NORTHAMPTON
NEW HAVEN
BRANFORD
SOUTHBURY
NEW HAVEN
NEW LONDON
TARRYTOWN
BREWSTER
GREENWICH
SPRINGFIELD
SPRINGFIELD
FARMINGTON
NEW YORK
NEW HAVEN
NEW HAVEN
LANGHORNE
POMONA
GREENWICH
NEW YORK
PROVIDENCE
NEW HAVEN
CUMBERLAND
GREENFIELD
YONKERS
OMAHA
FILLMORE
BOSTON
SAN DIEGO
BOSTON
WEST HAVEN
STAMFORD
FARMINGTON
WILTON
NEW MILFORD
WATERBURY
GLASTONBURY
NEW YORK
GREAT BARRINGTON
NEW HAVEN
NEW YORK
NEW HAVEN
PROVIDENCE
POMONA
DANBURY
MIDDLETOWN CT
CT
CT
NY
CT
CT
RI
MA
CT
CT
CT
CT
CT
NY
NY
CT
MA
MA
CT
NY
CT
CT
PA
NY
CT
NY
RI
CT
RI
MA
NY
NE
UT
MA
CA
MA
CT
CT
CT
CT
CT
CT
CT
NY
MA
CT
NY
CT
RI
NY
CT
CT
203-791-5016
860-685-8950
914-922-2241
203-854-9104
203-374-1027
401-793-8830
413-584-7787
203-688-5900
203-626-0160
203-264-2200
203-688-3182
860-437-3611
914-524-0715
845-279-5161
203-869-1145
413-794-8336
860-741-6572
860-255-1999
212-606-1631
203-688-1734
203-776-4444
267-565-8239
914-922-2241
203-869-1145
646-227-3813
401-854-2504
203-688-1734
401-334-2116
413-773-2263
914-922-2241
402-354-0610
801-442-1431
617-726-8523
918-429-7518
617-355-8537
203-932-5711
203-322-7070
860-674-4334
203-210-7820
860-354-8616
203-755-6677
860-657-3376
646-227-3813
413-447-2752
203-974-7016
646-227-3813
203-785-4197
401-854-2504
914-922-2241
203-837-8590
860-704-4000
06810-7832
06457-4780
10990-4104
06850-3320
06606-1801
02903-4923
01060-3914
16519-1124
06405-3061
06488-2275
06511-5410
06320-1234
10591-4202
10509-2844
06831-5100
01199-1619
01104-3300
06032-2242
10021-4823
06510-3220
06511-5363
19047-0362
10970-3516
06831-5100
10065-6007
02903-4923
06510-3220
02864-3833
01301-2613
10701-1301
68114-4199
84631-5013
02114-2696
92103-8937
02115-5724
06516-2770
06905-1224
06032-1901
06897-4408
06776-3485
06708-3346
06033-5007
10065-6007
01230-1713
06519-1109
10065-6007
06510-2483
02903-4923
10970-3516
06810-6826
06457-2797
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1679665525
1477793917
1508185471
1144348616
1720070337
1508870007
1932243870
1346252913
1336124676
1508207952
1407885841
1225163488
1417246109
1902840119
1588664692
1063475184
1407848278
1285728782
1730370669
1548360035
1609896554
1720126386
1538577168
1952583767
1215065503
1821293176
1366459109
1720154354
1780632968
1225022973
1336119411
1699886358
1255405387
1326380239
1649231879
1215070917
1982716049
1346334653
1376534784
1992781645
1568656957
1235189697
1629049119
1285896480
1114906591
1639142128
1295714657
1740376706
1679541213
1003867714
1720030299
HAIMS
HAKIMI
HAKIMI
HAKKARAINEN
HALL
HAMEROFF
HAMPTON
HAN
HAN
HANAS
HANDELSMAN
HANN
HANNA
HANNANIAN
HANNES
HANSON
HARAM-MOURABET
HARAN
HARDY
HARDY
HARONIAN
HARRINGTON
HARRIS
HARRIS
HARRIS
HARRISON
HARWICK
HASAPIS
HASBANI
HASBANI
HASKELL
HASSETT
HATIBOGLU
HATTA
HAUSER
HAVEN
HAY
HAYDEN
HEALD
HEALEY
HEATON
HECHT
HEDRICK
HEEBNER CARDWELL
HEERDT
HEFTLER
HEGARTY
HEINEMANN
HEINL
HELFAND
HELMBACH
MARK
ABRAHAM
NEAL
JENNIFER
JOSEPH
HARVEY
WILLIAM
HELEN
YUNCHENG
JAMES
DAN
MICHAEL
PAUL (BOULOUS
FARSHAD
ANDREW
THOMAS
SOHEIR
MARY
JENNIFER
PAUL
THOMAS
PHILIP
JACQUELINE
NATASHA
STEPHEN
DOUGLAS
FREDERICK
PETER
MAYER
MOSHE
SALLY
MICHAEL
FERDA
CAROLINE
MARK
LYNNE
SEONAID
FRANCIS
PETER
JOHN
TODD
LEAH
DAVID
DORCAS
ALEXANDRA
JEFFREY
CATHERINE
MURK
ROBERT
IRA
DEBORAH
1017 FARMINGTON AVENUE
1275 YORK AVE
34 MAPLE STREET
294 NORTH MAIN STREET
CHILDREN'S & WOMAN'S PHYSICIAN
10 DALE STREET
38 LAKE AVE.
1320 MAIN STREET
850 STRAITS TURNPIKE, STE 203
ER DEPT
CHILDREN'S & WOMAN'S PHYSICIAN
888 WHITE PLAINS RD
461 OCEAN AVE
475 NORTHERN BLVD.
CHILDREN'S & WOMAN'S PHYSICIAN
800 HOWARD AVE
CHILDREN'S & WOMAN'S PHYSICI
51 NORTH MAIN ST
200 SANDY HOLLOW RD
ONE PHOENIX MILL LANE
593 EDDY STREET
175 GRAND AVENUE
759 CHESTNUT STREET
34 PARK ST
454 WOLCOTT STREET
593 EDDY STREET
WING MEMORIAL HOSPITAL
173 EAST AVE
136 SHERMAN AVENUE
136 SHERMAN AVENUE
950 CAMPBELL AVENUE
450 BROOKLINE AVENUE
295 WASHINGTON AVE
20 YORK STREET, CB-2041
16 CONVERSE AVENUE
49 LAKE AVENUE
950 CAMPBELL AVENUE
800 CROSS RIVER ROAD
73 SAND PIT RD SUITE 207
1275 YORK AVE
1275 YORK AVE
300 LONGWOOD AVE
CHILDREN''S & WOMENS PHYSICIAN
300 LONGWOOD AVENUE
1275 YORK AVE
6 GREENWICH OFFICE PARK
2150 MAIN STREET
1275 YORK AVE
455 TOLLGATE ROAD
1515 ALLEN STREET
41 BREWSTER RD
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
SUITE 201
967 N. BROADWAY
130 DIVISION
755 N BROADWAY STE. 500
91 LAKES RD
16 GUION PL
SUITE 1A
SUITE 101
2ND FLOOR
40 WRIGHT ST
SUITE 505
SUITE 505
DANA-FARBER CANCER INSTITUTE
42 SHERWOOD PLACE
Page 20 of 54
City
State Zip Code
Phone Number
WEST HARTFORD
NEW YORK
NORWALK
EAST LONGMEADOW
YONKERS
WEST HARTFORD
GREENWICH
WILLIMANTIC
MIDDLEBURY
DERBY
SLEEPY HOLLOW
TRUMBULL
NEW LONDON
GREAT NECK
MONROE
NEW HAVEN
NEW ROCHELLE
SOUTHINGTON
MYSTIC
PETERBOROUGH
PROVIDENCE
NEW HAVEN
SPRINGFIELD
NEW HAVEN
WATERBURY
PROVIDENCE
PALMER
NEW CANAAN
NEW HAVEN
NEW HAVEN
WEST HAVEN
BOSTON
HAMDEN
NEW HAVEN
NEWTON
GREENWICH
WEST HAVEN
KATONAH
DANBURY
NEW YORK
NEW YORK
BOSTON
GREENWICH
BOSTON
NEW YORK
GREENWICH
SPRINGFIELD
NEW YORK
WARWICK
SPRINGFIELD
BRISTOL
CT
NY
CT
MA
NY
CT
CT
CT
CT
CT
NY
CT
CT
NY
NY
CT
NY
CT
CT
NH
RI
CT
MA
CT
CT
RI
MA
CT
CT
CT
CT
MA
CT
CT
MA
CT
CT
NY
CT
NY
NY
MA
CT
MA
NY
CT
MA
NY
RI
MA
CT
860-521-6767
646-227-3813
203-852-2670
413-794-1150
914-922-2241
860-521-9451
203-869-3950
860-450-7583
203-758-2300
616-464-0027
914-922-2241
203-268-2882
860-442-3323
516-773-3048
914-922-2241
203-785-4216
914-922-2241
860-628-9121
860-572-0402
603-784-5266
401-854-2504
203-865-1668
413-794-3233
203-974-7300
203-755-0399
401-444-8219
978-466-2994
203-972-4218
203-562-8071
203-562-8071
203-932-5711
617-632-5917
203-248-2500
203-688-1734
617-969-6331
203-869-4242
866-808-7921
914-763-8151
203-792-4151
646-227-3813
646-227-3813
617-355-8537
203-661-2440
617-355-8537
646-227-3813
203-869-1145
860-741-6572
646-227-3813
401-737-7000
413-783-9114
860-585-3024
06107-2106
10065-6007
06856-3815
01028-1838
10701-1301
06107-1815
06830-4515
06226-1940
06762-2843
06418-1326
10591-1077
06611-4552
06320-4502
11021-4812
10950-2694
06519-0309
10801-5502
06489-3515
06355-1744
03458-1445
02903-4923
06513-3939
01199-1619
06519-1109
06705-1239
02903-4923
01069-1138
06840-5614
06511-5238
06511-5235
06516-2770
02215-5418
06518-3025
06510-3220
02458-2504
06830-4501
06516-2770
10536-0800
06810-4015
10065-6007
10065-6007
02115-5724
06830-5638
02115-5724
10065-6007
06831-5100
01104-3300
10065-6007
02886-2759
01118-1803
06010-5141
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1780786517
1952420390
1760485452
1013072453
1457512741
1457451551
1437198702
1285751719
1467511568
1124004734
1780654780
1336215698
1316977119
1619978293
1487943114
1366676066
1528155009
1609890698
1578723334
1104897784
1548510985
1588782064
1407908379
1124248463
1164432480
1245207737
1265465165
1659673390
1366644791
1164837449
1558345512
1043231798
1588831879
1811964257
1255650149
1710204987
1811976871
1457372013
1932424108
1336571165
1609878362
1104918697
1629043997
1700029238
1225102387
1962646067
1013093731
1942414685
1558469437
1952407843
1508883588
HENDIZADEH
HENDRICKS
HENIN
HENNESSY
HENRY
HERBERT
HERBST
HERNANDEZ
HERNANDEZ-AVILA
HERR
HERSH
HESSE
HESSION
HETZLER
HEWARD
HEYWOOD-GREGORY
HICKEY
HILL
HILLS
HINDMAN
HINDS
HINES
HIRSCH
HITZEMAN
HO
HO
HOCKMAN
HOFFMAN
HOGAN
HOGAN
HOJMAN
HOKENESS
HOLLAND
HOLLECK
HOLLYWOOD
HOLMES
HOLOVACS
HOLTORF
HOLUBA
HOLZMAN
HOM
HONIG
HOOD
HOOPER
HOPE
HORBAL
HORN
HORNBERGER
HOROWITZ
HORTON
HOSKINS
PEDRAM
DAVID
ROBERT
BRIAN
LUCAS
JOSHUA
ANDREW
RENE
CARLOS
HARRY
STANLEY
FREDERICK
MELISSA
THERESA
BRADY
KAMILAH
JOHN
JESSE
OSCAR
STEVEN
MICAYLA
AMANDA
JODY
LAWRENCE
POCHU
VINCENT
LISA
AMY
JONATHAN
KAREN
HORACIO
STEVEN
ALICE
JURGEN
EMILY
PATRICE
THOMAS
DEBORAH
NICOLE
SAMANTHA
CHRISTINE
DAVID
TARA
MICHAEL
SUSAN
TERRENCE
JAY
KEVIN
JEFFREY
PAUL
DONNA
1881 POST RD
130 DIVISION
131 NEW LONDON TURNPIKE
30 SHELBURNE RD
34 PARK STREET
5 HIGH RIDGE PARK
148 EAST AVE SUITE 3B
20 YORK STREET, CB-2041
1000 SILVER STREET
1275 YORK AVE
1201 WEST MAIN STREET
ARMS ACRES REHAB, INC.
701 ENFIELD STREET
CHILDREN'S & WOMAN'S PHYSICI
20 YORK STREET
CHILDREN''S & WOMENS PHYSICIAN
20 YORK STREET, CB-2041
701 COTTAGE GROVE RD.
495 ORANGE STREET
6 GREENWICH OFFICE PARK
300 LONGWOOD AVENUE
CHILDREN'S & WOMENS PHYSICIAN
CHILDREN''S & WOMEN''S PHYSICI
275 SEVENTH AVE 3RD FLOOR
93 EDWARDS STREET
450 BROOKLINE AVENUE
BREWSTER ROAD
300 LONGWOOD AVE
635 WEST 168TH STREET
3300 MAIN STREET
1246 CHALKSTONE AVE
36 BRIDGE WAY
275 MOUNT CARMEL AVENUE
WATERBURY PRIMARY CARE,VA-CT
435 LEWIS AVE
230 S FRONTAGE ROAD
55 FRUIT ST
JOSLIN DIABETES CENTER
3959 BROADWAY
ER DEPT
CHILDREN'S & WOMAN'S PHYSICI
111 EAST AVENUE
201 WEST MAIN ST
333 CEDAR ST
61 SOUTH MAIN STREET
555 BRIDGEPORT AVE 2ND FLR
162 KINGS HIGHWAY NORTH
WOODS SERVICES
CHILDREN'S & WOMAN'S PHYSICI
321 RESEARCH PARKWAY
62 CARTER ROAD
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
SUITE 103
CONNECTICUT VALLEY HOSPITAL
SUITE 100
75 SEMINARY HILL RD.
19 BRADHURST AVE. STE 2400
TOMPKINS, 209
19 BRADHURST AVE. STE. 1400
E110
255 LAFAYETTE AVE.,
50 PLAZA WEST,MUNGER PAVILION,
DANA-FARBER CANCER INSTITUTE
PH-4 RM 124
95 SCOVILST 2ND FLOOR, CROFT
YAW 3G
ONE JOSLIN PLACE
130 DIVISION
19 BRADHURST AVE. STE 1400
#209
FIRST FLOOR
515, ROUTE 413
10 RONALD REAGAN BLVD.
SUITE 106
Page 21 of 54
City
State Zip Code
Phone Number
FAIRFIELD
DERBY
GLASTONBURY
STAMFORD
NEW HAVEN
STAMFORD
NORWALK
NEW HAVEN
MIDDLETOWN
NEW YORK
WATERBURY
CARMEL
ENFIELD
HAWTHORNE
NEW HAVEN
HAWTHORNE
NEW HAVEN
BLOOMFIELD
NEW HAVEN
GREENWICH
BOSTON
SUFFERN
VALHALLA
NEW YORK
NEW HAVEN
BOSTON
BRISTOL
BOSTON
NEW YORK
SPRINGFIELD
PROVIDENCE
PASCOAG
HAMDEN
WATERBURY
MERIDEN
NEW HAVEN
BOSTON
BOSTON
NEW YORK
DERBY
HAWTHORNE
NORWALK
NIANTIC
NEW HAVEN
WEST HARTFORD
SHELTON
WESTPORT
LANGHORNE
WARWICK
MERIDEN
KENT
CT
CT
CT
CT
CT
CT
CT
CT
CT
NY
CT
NY
CT
NY
CT
NY
CT
CT
CT
CT
MA
NY
NY
NY
CT
MA
CT
MA
NY
MA
RI
RI
CT
CT
CT
CT
MA
MA
NY
CT
NY
CT
CT
CT
CT
CT
CT
PA
NY
CT
CT
203-255-1036
616-464-0027
860-633-0486
203-276-7058
203-974-7016
203-276-4644
203-957-3535
203-688-1734
860-262-5868
646-227-3813
203-573-4885
845-225-3400
860-741-6572
914-922-2241
203-688-9503
914-922-2241
203-688-1734
860-882-6168
203-772-7912
203-869-1145
617-355-6000
914-493-8558
914-594-3415
646-574-7832
203-772-1270
617-632-5917
440-627-2625
617-355-8537
212-305-5020
413-794-7394
401-331-1350
401-567-0800
203-582-8738
203-465-5292
330-493-4443
203-785-2540
617-726-0298
617-732-2603
201-346-3176
616-464-0027
914-922-2241
203-853-6777
860-451-3068
203-785-4651
860-313-1352
203-913-9193
203-226-6309
267-565-8239
914-922-2241
203-235-2505
860-927-3772
06824-5721
06418-1326
06033-2246
06904-9317
06519-1109
06905-1328
06851-1481
06510-3220
06457-7023
11065-6007
06708-3105
10512-1912
06082-2961
10532-2144
06510-3202
10532-2144
06510-3220
06002-3080
06511-3809
06831-5100
02115-5724
10901-4812
10595-1533
10001-6884
06511-3933
02215-5418
06011-0977
02115-5724
10032-3270
01199-1619
02908-3904
02859-0312
06518-1908
06706-1126
06451-2101
06519-1124
02114-2696
02215-5306
10032-3270
06418-1326
10532-2140
06851-5014
06351-1904
06520-8064
06107-2486
06484-4749
06880-2425
19047-0036
10990-4104
06450-8341
06757-0607
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1851542708
1023085099
1972593887
1093852808
1417935818
1689651614
1942214630
1558798884
1235399783
1417055302
1528007135
1942399886
1699922278
1245368513
1467671917
1225106867
1235169798
1184781205
1174519482
1407070493
1487903431
1780975615
1407056559
1356532592
1235235318
1215941893
1174757629
1578885315
1629004452
1609892207
1598944910
1952566580
1750447421
1306153580
1053491597
1255331302
1265509939
1992763072
1720141526
1023111879
1245454115
1053623934
1124068465
1265456347
1306940994
1689641276
1649397068
1871516963
1275690034
1295852440
1336196716
HOTCHKISS
HOULE
HOUSER
HOWARD
HOWARD
HOWE
HU
HUANG
HUANG
HUGHES
HUGHES
HUGHES
HUNG
HUNGERFORD
HUNT
HUNT
HUNT
HUNTMASON
HURLEY
HUROWITZ
HUSKINS
HUSSAIN
HWANG
HWANG
HWANG
HWANG
HYSON
IBRAHIM
IDELSON
IGLESIAS
IGOE
ILLIG
IMEVBORE
IMMORDINO
INAMDAR
INDARAM
INDOCCI
INDYK
INFANTINO
ISLAM
ISRAELY
IWAMOTO
JABLON
JACK
JACKSON
JACOBS
JACOBS
JACOBS
JACOBS
JACOBS-STANNARD
JACOBSON
KAREN
RICHARD
RICHARD
BRENDA
LISA
ROBERT
QI
HSIAO-MEI
JAMES
JOHN
MARTHA
PETER
YU TING
MARYSUSAN
JANICE
KEVIN
MICHAEL
DIANNE
MATTHEW
GERALD
CHELSEA
ISMA
ANITA
EUGENE
HAEYOUNG
MICHAEL
ANNE
SAAD
DOUGLAS
JULIE
MICHELLE
ANDREW
OLUTAYO
PETER
NINA
JAYASRI
WILLIAM
ROBERT
ANTHONY
QUAZI
ROBERT
FABIO
JEFFREY
KATHRYN
TERENCE
ALAN
ALLAN
ELIZABETH
SELBY
ANDREA
JONATHAN
1 TURKEY HILL ROAD SOUTH
701 W COCOA BEACH CAUSEWAY
1000 SILVER STREET
6 GREENWICH OFFICE PARK
701 ENFIELD STREET
281 MAPLE STREET
41 BREWSTER ROAD
800 CROSS RIVER ROAD
1275 YORK AVE
950 CAMPBELL AVE
10 WINTERGREEN AVE
90 MORGAN STREET
500 W. PUTNAM AVE.
2420 MAIN STREET
69 SHERMAN STREET
2447 WHITNEY AVENUE
762 LINDLEY STREET
67 NORTH MAIN STREET
BREWSTER RD
134 E 93RD ST
5151 PARK AVENUE
20 YORK STREET
915 HARTFORD TPK
111 MICHIGAN AVENUE NW
CHILDREN'S & WOMAN'S PHYSICIAN
800 CROSS RIVER ROAD
950 CAMPBELL AVE
DEPARTMENT OF DIAGNOSTIC RAD
55 LOCK STREET
300 LONGWOOD AVENUE
400 CAPITAL BLVD
30 SHELBURNE RD
20 YORK STREET, CB-2041
263 FARMINGTON AVENUE
1450 WASHINGTON BLVD
CHILDREN'S & WOMAN'S PHYSICI
188 ELIZABETH STREET
83 EAST AVENUE
425 FRANKLIN AVENUE
8112 STATE ROUTE 12
26 IMPERIAL AVE
622 W 168TH ST
26 BURLING LANE
455 LEWIS AVENUE
47 OAK ST. #240
120 EAST 56TH STREET
61 SOUTH MAIN STREET
593 EDDY STREET
34 PARK ST
20 YORK STREET, CB-2041
DEVEREUX FOUNDATION
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
SUITE 207
SUITE 3
ST.VINCENTS FAMILY HEALTH CTR
SUITE 201
TOMPKINS, 209
130 GRAND ST.
11-ACSL-1
789 HOWARD AVE
3RD FLOOR
19 BRADHURTS AVE
SUITE 205
HINGE CENTER, SUITE 4
2ND FLOOR
SUITE 106
SUITE 1040
SUITE 305
60 MILES RD
Page 22 of 54
City
State Zip Code
Phone Number
WESTPORT
COCOA BEACH
MIDDLETOWN
GREENWICH
ENFIELD
EAST LONGMEADOW
BRISTOL
KATONAH
NEW YORK
WEST HAVEN
NEW HAVEN
STAMFORD
GREENWICH
STRATFORD
FAIRFIELD
HAMDEN
BRIDGEPORT
ESSEX
BRISTOL
NEW YORK
FAIRFIELD
NEW HAVEN
WATERFORD
WASHINGTON
CROTON ON HUDSON
KATONAH
WEST HAVEN
NEW HAVEN
NEW HAVEN
BOSTON
ROCKY HILL
STAMFORD
NEW HAVEN
FARMINGTON
STAMFORD
HAWTHORNE
DERBY
NORWALK
HARTFORD
BARNEVELD
WESTPORT
NEW YORK
NEW ROCHELLE
MERIDEN
STAMFORD
NEW YORK
WEST HARTFORD
PROVIDENCE
NEW HAVEN
NEW HAVEN
RUTLAND
CT
FL
CT
CT
CT
MA
CT
NY
NY
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
NY
CT
CT
CT
DC
NY
NY
CT
CT
CT
MA
CT
CT
CT
CT
CT
NY
CT
CT
CT
NY
CT
NY
NY
CT
CT
NJ
CT
RI
CT
CT
MA
203-240-3323
623-582-2141
860-262-5868
203-869-1145
860-741-6572
413-525-5160
860-585-3024
914-763-8151
646-227-3813
203-932-5711
203-393-6300
203-325-4087
203-622-0303
203-556-5223
203-255-0468
203-288-5558
203-576-5131
860-860-7677
440-627-2625
212-471-0345
203-365-4720
203-688-9503
860-443-3250
301-572-3591
914-922-2241
914-763-8151
203-932-5711
203-785-7377
203-432-0076
617-355-8537
860-221-0791
203-276-7058
203-688-1734
860-679-5500
914-401-8031
914-922-2241
203-735-9072
203-866-2812
860-947-0322
315-896-2020
203-221-1001
201-346-3176
914-235-1888
860-257-4131
203-252-2252
212-888-0002
860-561-1640
401-854-2504
203-974-7016
203-688-1734
508-886-4746
06880-5525
32931-3585
06457-7023
06831-5100
06082-2961
01028-2712
06010-5161
10536-0800
10065-6007
06516-2221
06515-1355
06905-5466
06830-6086
06615-1234
06824-5821
06518-3211
06606-5046
06426-1357
06011-0977
10128-1635
06825-8224
06510-3202
06385-4229
20010-2970
10520-2307
10536-0800
06516-2770
06519-1306
06511-3603
02115-5724
06067-3576
06904-9317
06510-3220
06030-0900
06902-2451
10532-2140
06418-1814
06851-4902
06114-2517
13304-2122
06880-4308
10032-3270
18081-5626
06451-2121
06905-5345
10022-3628
06107-2403
02903-4923
06510-1109
06510-3220
01543-0219
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1174875421
1164519120
1598807869
1700939998
1578539151
1801875646
1245324771
1497822605
1912919754
1881723054
1811037708
1477877348
1982725537
1851373450
1598781791
1598051807
1760538102
1508266842
1730157918
1508952359
1871668707
1952429011
1861484917
1184824229
1568479970
1891932455
1942424007
1477715951
1902032295
1811147598
1750355384
1497888002
1306909601
1538238142
1609931831
1770868630
1861784670
1760559934
1114090818
1114244027
1457322158
1154327369
1215910922
1154322550
1710080387
1154471480
1598714701
1619138799
1558482323
1699965871
1558354142
JACOBSON
JACOBSON
JACOBSON
JACQUES
JADERQUIST-BASSETT
JAFFE
JAHN
JAMBOR
JAMES
JAMIESON
JANIKAS
JANOFF
JARMON
JARNAGIN
JASINSKI
JASOLOSKY
JAZIRI
JEAN
JEAN-GUILLAUME
JENEI
JENNETTE
JENNINGS
JENSEN
JEWELL
JINDAL
JODORKOVSKY
JOHNSON
JOHNSON
JOHNSON
JOHNSON
JOHNSON
JOHNSON
JOHNSTON
JONES
JONES
JONES
JORDAN
JOSEL
JOVINO
JOY
JUAN
JUDGE
JURZYK
JUSTER
KABAKOFF
KABEER
KACKIELO
KADRI
KADZIELSKI
KAFFMAN
KAGDIS
MELISSA
RONALD
STUART
CHERYL
CATHLEEN
ALAN
MARGARET
CLINTON
ALAN
N GARY
JOHN
MEGAN
JOSEPH
WILLIAM
JOHN
ELIZABETH
WALID
SANDIE
ROCK
PETER
ROBERT
DANNA
PETER
ELIZABETH
MEENU
DANIELA
ANN
DAVA
ELIZA
LARRY
RICHARD
SUSAN
LISABETH
DAVID
JANICE
JILLIAN
AYANA
MARK
LOUISE
SONIA
PAUL
JAMES
RONALD
FERN
SETH
NASREEN
HANNA
ASLAM
SARAH
ARIE
CAROL
800 CROSS RIVER ROAD
CHILDREN''S & WOMENS PHYSICIAN
484 BOSTON POST ROAD
401 WEST THAMES ST
142A DANIELSON PIKE
5 PERRYRIDGE ROAD
CHILDREN''S & WOMAN''S PHYSICI
34 DALE ROAD
1132 NEW BRITAIN AVENUE
79 PARK PLACE
2215 BURDETT AVE
20 YORK ST
LIGHTHOUSE DENTAL CARE
1275 YORK AVE
761 MAIN AVE
1 RIVER STREET
NORWICH PSYCHIATRIC CENTER
20 YORK STREET, CB-2041
WING MEMORIAL HOSPITAL
20 YORK STREET CB-4021
185 BIRCH STREET
60 TEMPLE STREET
20 YORK STREET, CB-2041
1275 YORK AVE
CHILDREN''S & WOMAN''S PHYSICI
CHILDREN'S & WOMAN'S PHYSICI
300 LONGWOOD AVENUE
79 PAYNE ROAD
3741 W 12600 S
25A GREEN HOLLOW ROAD
50 STANIFORD ST
1461 SOUTH BRITAIN ROAD
361 PARK ROAD
1275 YORK AVE
34 PARK ST
CHILDREN''S & WOMENS PHYSICIAN
34 PARK STREET
4 NORTHWESTERN DRIVE
CHILDREN'S & WOMAN'S PHYSICIAN
40 TEMPLE STREET
25 VALLEY DRIVE
400 CAPITAL BLVD
464 WOLCOTT ROAD
CHILDREN'S & WOMAN'S PHYSICI
928 FARMINGTON AVENUE
CHILDREN'S & WOMAN'S PHYSICI
1 TOWNE PARK PLAZA
74 SHERWOOD LANE
55 FRUIT ST
555 WILLARD AVE
6900 MAIN STREET
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
755 NORTH BROADWAY, SUITE 540
BLDG 301
755 N BROADWAY STE. 500
SUITE 208
TOMPKINS 209
88 RYDERS LANE
SUITE 102
THUNDERMIST HEALTH CENTER
108 NEW LONDON TPKE.
40 WRIGHT ST
SUITE 8B
2529 ROUTE 52-STE 3
19 BRADHURTS AVE. STE 206
S50-200
VASSAR BROTHERS -45 READE PL
446 ROUTE 304-STE E
THIRD FLOOR
19 BRADHURST AVE. STE 2400
45 READE PL
YAWKEY 6C
VA-MHC
Page 23 of 54
City
State Zip Code
Phone Number
KATONAH
SLEEPY HOLLWO
DARIEN
NORWICH
FOSTER
GREENWICH
SLEEPY HOLLOW
AVON
WEST HARTFORD
WINSTED
TROY
NEW HAVEN
STRATFORD
NEW YORK
NORWALK
WAKEFIELD
NORWICH
NEW HAVEN
PALMER
NEW HAVEN
WILLMANTIC
NEW HAVEN
NEW HAVEN
NEW YORK
HOPEWELL JUNCTION
HAWTHORNE
BOSTON
BETHEL
RIVERTON
DANIELSON
BOSTON
SOUTHBURY
WEST HARTFORD
NEW YORK
NEW HAVEN
POUGHKEEPSIE
NEW HAVEN
BLOOMFIELD
BARDONIA
NEW HAVEN
GREENWICH
ROCKY HILL
WOLCOTT
HAWTHORNE
WEST HARTFORD
POUGHKEEPSIE
NORWICH
NORWICH
BOSTON
NEWINGTON
STRATFORD
NY
NY
CT
CT
RI
CT
NY
CT
CT
CT
NY
CT
CT
NY
CT
RI
CT
CT
MA
CT
CT
CT
CT
NY
NY
NY
MA
CT
UT
CT
MA
CT
CT
NY
CT
NY
CT
CT
NY
CT
CT
CT
CT
NY
CT
NY
CT
CT
MA
CT
CT
914-763-8151
914-358-0190
203-656-3900
860-859-4765
401-567-0800
914-607-5726
914-922-2241
860-677-0079
860-236-6928
860-379-5898
518-271-3450
203-688-9503
203-378-1566
646-227-3813
860-282-4133
401-767-4100
860-889-3052
203-688-1734
978-466-2994
203-688-1734
860-465-5263
203-401-4349
203-688-1734
646-227-3813
914-922-2241
914-922-2241
617-355-8537
203-743-1150
801-442-1431
860-779-0374
617-726-2914
203-586-2439
860-523-1101
646-227-3813
203-974-7300
914-922-2241
203-974-7016
860-243-3344
914-922-2241
203-785-2513
203-622-4301
860-221-0791
203-879-6171
914-922-2241
860-233-2322
914-922-2241
317-509-3900
860-639-7213
617-726-8705
860-666-6951
203-386-6488
10536-0800
10591-1077
06820-9999
06360-7167
02825-1475
06830-4608
10591-1077
06001-3659
60110-2413
06098-1705
12180-2466
06510-3202
06614-1666
10065-6007
06851-0001
02879-3214
06360-2645
06510-3220
01069-1138
06504-3220
06226-2141
06510-2716
06510-3220
10065-6007
12533-3246
10532-2140
02115-5724
06801-1111
84065-7215
06239-3509
02114-2914
06488-0901
06119
10065-6007
06519-1109
12601-3947
06519-1109
06002-3444
10954-1617
06510-2715
06831-5203
06067-4035
06716-2626
10532-2144
06107-1929
12601-3947
06360-2259
06360-5248
02114-2696
06111-2600
06614-4946
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1427043538
1609931245
1588747182
1548318926
1225164320
1063641066
1912160250
1225115645
1497730675
1861745259
1376626978
1043234792
1093702334
1689787301
1861896524
1477644698
1770894974
1952395568
1568455137
1174683437
1497941090
1053379099
1013983691
1366551038
1396876371
1700894177
1861459182
1548286818
1265507768
1578738787
1386726750
1871593590
1891803581
1710085741
1417900101
1780648238
1154317741
1477516854
1689782401
1245210798
1710900055
1801936539
1023117512
1780651745
1710183777
1679502140
1184616963
1598787855
1144205477
1205991890
1245662576
KAGE
KAHN
KAHN
KALACZNIK
KALE
KALEEL
KALLOO
KALMAN
KALMAN
KALOWSKY BENOIT
KAMANITZ
KAMAT
KAMIREDDY
KANADE
KANAGAKI
KANGANIS
KANTEH
KAPLAN
KAPLAN
KAPLAN
KAPOOR
KAPOOR
KARACSONYI
KARL
KARLIN
KARLIN
KARNASIEWICZ
KAROL
KARP
KARPENOS
KARTHAS
KASE
KASETA
KASHAF
KASIR
KASPER
KASS
KASSAM
KASSARIS
KASULINOUS
KASZYCKI
KATES
KATIS
KATZ
KATZ
KATZ
KATZENSTEIN
KATZOFF
KAUFF
KAUFMAN
KAUFMAN SCHER
BARBARA
JEFFREY
STEVEN
MONICA
MILIND
ABDEL SALAM
SEAN
ARLENE
DAVID
MARGUERITE
JOYCE
ACHYUT
NAGIREDDY
SANDHYA
ALYSSA
POLLY
MAMA
JEFFREY
JERROLD
MARVIN
AROMMA
REENA
EVA
EDWARD
JAN
ROGER
MICHAEL
NINA
SHARON
ILANA
NANCY
JORDAN
SUZANNE
SUSAN
LAITH
MARK
LEWIS
YASMIN
CHRIS
GERALDINE
GRAZYNA
MATTHEW
JAMES
JEFFREY
LAURA
STEVEN
MARTIN
NORMAN
NOAH
CRAIG
JONATHAN
361 MAIN STREET
506 CROMWELL AVE
391 BROAD STREET
34 PARK ST
1225 SILVER STREET
800 HOWARD AVE
622 WEST 168TH STREET
54 ARROWHEAD ROAD
2150 MAIN STREET
400 CAPITAL BLVD
670 PROSPECT AVE
593 EDDY STREET
1320 MAIN ST
20 YORK STREET, CB-2041
3300 MAIN STREET
CHILDREN'S & WOMAN'S PHYSICI
36 BRIDGE WAY
4699 MAIN STREET
2200 WHITNEY AVE.
1111 PARK AVENUE
CHILDREN''S & WOMAN''S PHYSICI
34 PARK ST
2150 MAIN STREET
836 FARMINGTON AVE
7600 DR PHILLIPS BLVD
88 STATE ROUTE 37
500 CHASE PARKWAY
162 KINGS HIGHWAY NORTH
1450 WASHINGTON BLVD
CENTER FOR DISCOVERY
300 LONGWOOD AVENUE
CHILDREN''S & WOMAN''S PHYSICI
CHILDREN'S & WOMAN'S PHYSICIAN
950 CAMPBELL AVE
112 MANSFIELD AVENUE
339 HEMINGWAY AVENUE
520 WEST AV.
57 HARTFORD TURNPIKE
1881 POST RD
2 SOUTH BRIDGE DRIVE
1 PIERCE HOLLOW ROAD
26 BURLING LANE
145 OLD MILL ROAD
595 MAIN STREET
CHILDREN'S & WOMAN'S PHYSICIAN
664 PROSPECT AVENUE
CHILDREN'S & WOMAN'S PHYSICIAN
87 SLATER AVENUE
1275 YORK AVE
505 WILLARD AVENUE
20 YORK STREET, CB-2041
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
YALE VASCULAR NEUROLOGY
PH-4 ROOM 124
3RD FLOOR
3RD FLOOR, STE A
4 STUDIO ARCADE
SUITE 106
SUITE 200
19 BRADHURST AVE. STE 200N
SUITE 131
STE 58
FIRST FLOOR
1320 MILL HILL RD
100 WOODS RD
10 WEATHERVANE DR.
11ACSL-B
2ND FLOOR
503 GRASSLANDS RD STE 200
255 LAFAYETTE AVE
BLD 2 SUITE D
Page 24 of 54
City
State Zip Code
Phone Number
MANCHESTER
ROCKY HILL
MERIDEN
NEW HAVEN
MIDDLETOWN
NEW HAVEN
NEW YORK
BROOKFIELD
SPRINGFIELD
ROCKY HILL
HARTFORD
PROVIDENCE
WILLIMANTIC
NEW HAVEN
SPRINGFIELD
BRONXVILLE
PASCOAG
BRIDGEPORT
HAMDEN
NEW YORK
HAWTHORNE
NEW HAVEN
SPRINGFIELD
WEST HARTFORD
ORLANDO
NEW FAIRFIELD
WATERBURY
WESTPORT
STAMFORD
SOUTHPORT
BOSTON
VALHALLA
WASHINGTONVILLE
WEST HAVEN
WILLIMANTIC
EAST HAVEN
NORWALK
VERNON
FAIRFIELD
AGAWAM
SOUTHBURY
NEW ROCHELL
GREENWICH
MANCHESTER
VALHALLA
HARTFORD
SUFFERN
JEWETT CITY
NEW YORK
NEWINGTON
NEW HAVEN
CT
CT
CT
CT
CT
CT
NY
CT
MA
CT
CT
RI
CT
CT
MA
NY
RI
CT
CT
NY
NY
CT
MA
CT
FL
CT
CT
CT
CT
CT
MA
NY
NY
CT
CT
CT
CT
CT
CT
MA
CT
NY
CT
CT
NY
CT
NY
CT
NY
CT
CT
860-646-9929
860-563-1200
203-237-0002
203-974-7300
860-638-2629
203-785-4085
212-305-5020
203-775-6100
860-741-6572
615-224-5438
860-233-2600
401-854-2504
860-450-7583
203-688-1734
413-794-7031
914-922-2241
401-568-7661
203-374-8182
203-407-7727
212-348-7575
914-922-2241
203-974-7300
860-741-6572
860-236-8550
407-226-0609
203-746-2436
203-755-6677
203-226-6309
914-401-8031
203-955-1381
617-355-8537
914-922-2241
914-922-2241
866-808-7921
203-284-1340
203-468-9775
203-855-3632
860-645-7707
203-255-1036
413-789-7455
203-586-2439
914-235-1888
203-622-1213
860-646-1000
914-922-2241
860-231-2850
914-922-2241
860-376-2624
646-227-3813
860-666-2078
203-688-1734
06040-4127
06067-1851
06450-5844
06519-1109
06457-3920
06519-1369
10032-3270
06804-1532
01104-3300
06067-3576
06105-4240
02903-4923
06226-1940
06510-3220
01199-1619
10708-2631
02859-0312
06606-1830
06518-3602
10128-1234
10532-2140
06519-1109
01104-3300
06119-1585
32819-7231
06812-5036
06708-3346
06880-2425
06902-2418
06890-1234
02115-5724
10595-1530
10992-2242
06516-2700
06226-2045
06512-2318
06850-0050
06066-5286
06824-5721
01089-2015
06488-1137
10801-5626
06831-3015
06040-5160
10595-1593
06105-4203
10901-4812
06351-2408
10065-6007
06111-2650
06510-3220
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1821016239
1134190291
1083686950
1497048177
1295819985
1487876272
1144378811
1518186808
1154748150
1508295262
1417140815
1447289004
1962669259
1437184454
1124392352
1699015776
1669518635
1578717815
1306881123
1770745622
1679500086
1740561117
1225221005
1376873323
1538180427
1710202999
1245338300
1396004024
1376535252
1962611103
1689747842
1487924643
1568704104
1912211384
1477742062
1881822419
1700092277
1780997601
1548502438
1184608788
1790944114
1699794404
1093943201
1457684862
1346528114
1770787251
1710962089
1508083437
1003961046
1407141724
1760481519
KAUFMANN
KAUFMANN
KAVANAGH
KAVEH
KAVOOKJIAN
KEEFE
KEENAN
KEGEL
KEHOE
KEISE
KELLY
KELLY
KELLY
KELLY
KELLY
KELMENDI
KENNEDY
KENTA-BIBI
KERSTING
KESSEL
KESSLER
KEUKER
KEYES
KFOURY
KHAGHAN
KHAN
KHAN
KHAN
KHAN
KHATRI
KHOSLA
KIDDE
KILUK
KIM
KIM
KIMBALL
KIMBALL
KIMBLE-GOODMAN
KIMMEL
KING
KINGHAM
KINGSLEY
KINLER
KIREYCZYK
KIRTOK
KIRYLUK
KITCHER
KLAGSBRUN
KLAGSBRUN
KLAUS
KLEEMAN
CHARLES
HORACIO
BRIAN
SONYA
HAIK
CHARLES
KATHLEEN
LISA
ELIZABETH
COLLETE
GEORGE
JAMES
PAMELA
PAUL
SARENA
BENJAMIN
MARY
EUCHARIA
JOHN
TAMAR
FRANK
SUSAN
BRIAN
ROSETTE
NEDA
ALI
SHAHIDA
SHAHZAD
TABASSUM
ISHRAT
NATASHA
ELIZABETH
BRIAN
CHRISTY
JAE
JACQUELYN
RITA
BARBARA
ELLIOT
TARI
T
STEPHEN
RAE LYNNE
KARA
NECLA
KRZYSZTOF
PAULINA
SAMUEL
SARAH
CHRISTOPHER
TAMMRON
16 DAKIN AVENUE
530 FIRST AVENUE, SUITE 9Q
6 GREENWICH OFFICE PARK
230 SOUTH FRONTAGE ROAD
555 NEWFIELD AVE
191 ALBANY TPKE
1275 YORK AVE
56 FRANKLIN STREET
300 LONGWOOD AVENUE
400 CAPITAL BLVD
CONNECTICUT VALLEY HOSPITAL
59 FAIRE HARBOUR PLACE
300 LONGWOOD AVENUE
3 WOODLAND RD. SUITE 216
3203 MAIN STREET
34 PARK STREET
NORWICH PSYCHIATRIC CENTER
CONNECTICUT VALLEY HOSPITAL
1 PLEASANT ST
6 GREENWICH OFFICE PARK
3423 DANBURY ROAD
300 LONGWOOD AVENUE
1400 WHITNEY AVENUE
20 YORK STREET, CB-2041
500 WEST PUTNAM AVE
20 YORK STREET, CB-2041
435 LEWIS AVE
24 HOSPITAL AVE
24,HOSPITAL,AVENUE
BREWSTER ROAD
8 WESTEND AVENUE
300 LONGWOOD AVENUE
34 PARK STREET
CHILDREN''S & WOMAN''S PHYSICI
889 BRIDGEPORT AVENUE
64 ROBBINS ST
75 SEMINARY HILL RD.
WCMHN WATERBURY
27 BROAD STREET
1275 YORK AVE
1275 YORK AVE
57 NORTH STREET
2590 WHITNEY AVE UNIT 2
85 SEYMOUR STREET
CHILDREN''S & WOMAN''S PHYSICI
622 WEST 168TH STREET
30 SHELBURNE RD
800 CROSS RIVER ROAD
800 CROSS RIVER ROAD
1 RIVER STREET
40 CROSS STREET
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
3RD FLOOR
1000 SILVER STREET
108 NEW LONDON TPKE.
1000 SILVER STREET
SUITE 100
DANBURY HOSPITAL
19 BRADHURST AVE. STE 1400
95 THOMASTON AVE
SUITE 422
SUITE 1000
701 N BROADWAY
PH 4 ROOM 476
THUNDERMIST HEALTH CENTER
SUITE 300
Page 25 of 54
City
State Zip Code
Phone Number
MOUNT KISCO
NEW YORK
GREENWICH
NEW HAVEN
STAMFORD
CANTON
NEW YORK
WATERBURY
BOSTON
ROCKY HILL
MIDDLETOWN
NEW LONDON
BOSTON
STONEHAM
BRIDGEPORT
NEW HAVEN
NORWICH
MIDDLETOWN
MIDDLEBORO
GREENWICH
BREWSTER
BOSTON
HAMDEN
NEW HAVEN
GREENWICH
NEW HAVEN
MERIDEN
DANBURY
DANBURY
BRISTOL
OLD GREENWICH
BOSTON
NEW HAVEN
HAWTHORNE
MILFORD
WATERBURY
CARMEL
WATERBURY
NEW LONDON
NEW YORK
NEW YORK
DANBURY
HAMDEN
HARTFORD
SLEEPY HOLLOW
NEW YORK
STAMFORD
KATONAH
KATONAH
WAKEFIELD
NORWALK
NY
NY
CT
CT
CT
CT
NY
CT
MA
CT
CT
CT
MA
MA
CT
CT
CT
CT
MA
CT
NY
MA
CT
CT
CT
CT
CT
CT
CT
CT
CT
MA
CT
NY
CT
CT
NY
CT
CT
NY
NY
CT
CT
CT
NY
NY
CT
NY
NY
RI
CT
914-238-7909
212-263-7225
203-869-1145
203-777-0609
203-358-0661
860-693-0887
646-227-3813
203-709-6000
617-355-8537
860-221-0797
860-262-5868
860-442-7391
617-355-4956
781-979-0661
203-371-0009
203-974-7300
860-889-3052
860-262-5000
508-947-7825
203-869-1145
845-279-7200
617-355-8537
203-248-2116
203-688-1734
203-863-2908
203-688-1734
203-694-8630
203-739-8105
203-739-7000
440-627-2625
914-882-0750
617-355-8537
203-974-7016
914-922-2241
203-783-9899
203-573-6056
845-225-3400
203-805-6414
860-447-1714
646-227-3813
646-227-3813
203-790-0777
225-806-1184
860-257-4131
914-922-2241
212-305-5020
203-276-7058
914-763-8151
914-763-8151
401-767-4100
203-845-2995
10549-2843
10016-6402
06831-5100
06519-1124
06905-3330
06019-2554
10065-6007
06706-1221
02115-5724
06067-3576
06457-7023
06320-4739
02115-5724
02180-1702
06606-4225
06550-2353
06360-2645
06457-7023
02346-1101
06831-5100
10509-4513
02115-5724
06517-2459
06510-3220
06830-6086
06510-3220
06451-2101
06810-6099
06810-6024
06011-0977
06870-1642
02115-5724
06519-1109
10532-2144
06460-3139
06708-2613
10512-1921
06702-5501
06320-3935
10065-6007
10065-6007
06810-5629
06518-3044
06106-5529
10591-1020
10032-3270
06904-9317
10536-0800
10536-0800
02879-3214
06851-4661
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
Service Address Line 2
City
State Zip Code
Phone Number
1508866757
1669547261
1033386867
1982732582
1386788792
1770539728
1891869566
1336137058
1225023203
1609854983
1073695433
1386675924
1033214358
1326035031
1073642393
1710128400
1699785170
1346329760
1275608879
1376618611
1649292798
1235169715
1922141381
1053332957
1710045703
1760407043
1396709556
1336108760
1770656878
1831300144
1346417722
1912031295
1669442687
1942413646
1750602900
1982785341
1548263882
1518082726
1649299454
1952441123
1811005622
1770761777
1467481341
1245206663
1972602209
1801984927
1003952169
1366443434
1407823081
1902880255
1316920218
KLEIN
KLEIN
KLEIN
KLENOFF
KLENOFF
KLITZKE
KLJUSEV
KLOTH
KLUGMAN
KNAPP
KNEUT
KNOWLES
KOBIALKA
KOCHERLAKOTA
KOEGLER
KOELSCH
KOESTLER
KOKALARI
KOLADE
KOLADE
KOLENIK
KOLEVZON
KOMETZ-ROCK
KONDEV
KOPARAN
KOPE
KOPF
KORAISHY
KORVAL
KOSLAWY
KOSOFSKY
KOSTER
KOSTINA-O'NEIL
KOTA
KOTHARI
KOTLYAR
KOTULA
KRAMAN
KRAMER
KRAUSS
KRAVETZ
KREIZENBECK
KRESSLEY
KRITZER
KRUGER
KRULEE
KUHL
KUHNLEY
KULKE
KUMAR
KUNKEL
MICHAEL
NEIL
RHONDA
BRUCE
JASON
MARGARET
LJUDMIL
DAVID
JEFFREY
REBECCA
CATHERINE
PETER
WALTER
PRABHAKAR
ALBERT
EMILY
JENNIFER
JENNIFER
CHRISTINA
EBENEZER
STEVEN
ALEXANDER
SMADAR
VANJA
TULIN
WALTER
RICHARD
FARRUKH
ARNOLD
MARIA
SONG MIN
MICHAEL
YANINA
AJAY
JAY
VIKTOR
JASON
JEFFREY
DAVID
RONALD
JEFFREY
GRETCHEN
ELISABETH
LESTER
SUSAN
DAVID
JOSEPHINE
EDWARD
MATTHEW
SMITA
JOEL
CHILDREN'S & WOMAN'S PHYSICIAN
1450 WASHINGTON BLVD
761 MAIN AVE
32 STRAWBERRY HILL CT
32 STRAWBERRY HILL CT
1011 VETERANS MEMORIAL PARKWAY
227 NAUGATUCK AVE
100 MILL PLAIN ROAD
400 PROSPECT STREET
SUSAN WAYNE CENTER
300 LONGWOOD AVE
20 WEST AVON ROAD
1275 SUMMER ST
CHILDREN'S & WOMAN'S PHYSICIAN
652 BOSTON POST ROAD
CHILDREN'S & WOMAN'S PHYSICIAN
CHILDREN'S & WOMAN'S PHYSICI
20 YORK STREET, CB-2041
3851 MAIN STREET
3851 MAIN STREET
30 SHELBURNE RD
MOUNT SINAI MEDICAL CENTER
1 BRADLEY ROAD, SUITE 906
3241 MAIN STREET
30 SHELBURNE RD
162 MOUNTAIN ROAD
132 MAIN ST
435 LEWIS AVENUE
8 WEST END AVENUE
1225 SILVER ST.
308 CALLAHAN RD
593 EDDY STREET
1201 WEST MAIN STREET
20 YORK STREET, CB-2041
34 PARK STREET
1000 SILVER STREET
6 GREENWICH OFFICE PARK
10 PENDLETON DRIVE
20 GERMANTOWN ROAD
800 HOWARD AVE
950 CAMPBELL AVENUE
73 SAND PIT RD SUITE 207
2 WILDWOOD MEDICAL CENTER
935 MAIN STREET
WEST HAVEN VA
1062 BARNES ROAD
800 CROSS RIVER ROAD
189 STORRS ROAD
450 BROOKLINE AVENUE
CHILDREN'S & WOMAN'S PHYSICIAN
MED NOW, P.C.
19 BRADHURST AVE. STE 200N
HAWTHORNE
STAMFORD
NORWALK
STAMFORD
STAMFORD
EAST PROVIDENCE
MILFORD
DANBURY
NEW HAVEN
THOMPSON
BOSTON
AVON
STAMFORD
NEWBURGH
GUILFORD
TARRYTOWN
HAWTHORNE
NEW HAVEN
BRIDGEPORT
BRIDGEPORT
STAMFORD
NEW YORK
WOODBRIDGE
STRATFORD
STAMFORD
SUFFIELD
DANBURY
MERIDEN
OLD GREENWICH
MIDDLETOWN
NORTH KINGSTOWN
PROVIDENCE
WATERBURY
NEW HAVEN
NEW HAVEN
MIDDLETOWN
GREENWICH
HEBRON
DANBURY
NEW HAVEN
WEST HAVEN
DANBURY
ESSEX
MANCHESTER
WEST HAVEN
WALLINGFORD
KATONAH
MANSFIELD CENTER
BOSTON
BRONX
STRATFORD
NY
CT
CT
CT
CT
RI
CT
CT
CT
CT
MA
CT
CT
NY
CT
NY
NY
CT
CT
CT
CT
NY
CT
CT
CT
CT
CT
CT
CT
CT
RI
RI
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
NY
CT
MA
NY
CT
914-922-2241
914-401-8031
203-757-8919
203-276-7058
203-276-7058
401-432-1168
203-693-3500
203-792-5913
203-404-6444
860-928-5900
617-355-8537
860-673-0451
203-325-0764
914-922-2241
203-453-0015
914-922-2241
914-922-2241
203-688-1734
203-372-3333
203-372-3333
203-276-7058
212-241-0961
203-389-7747
203-283-9374
203-276-7058
860-668-1211
203-794-1979
203-284-1340
203-637-3212
860-638-2622
401-567-0800
401-444-7396
203-573-4885
203-688-1734
203-974-7016
860-262-5868
203-869-1145
860-228-9456
203-744-9700
203-785-4216
203-932-5711
203-792-4151
860-767-2186
860-649-0233
203-932-5711
203-265-4600
914-763-8151
860-465-5906
617-632-5917
914-922-2241
203-377-5733
HUSKY Health Connecticut / Charter Oak Health Plan
SUITE 102
75 CHURCH ST.
70 DUBOIS ST.
SUITE 7
150 WHITE PLAINS RD STE 101
19 BRADHURST AVE. STE 2400
1 GUSTAVE LEVY PLACE, BOX 1230
SUITE 100
BOX 351
11ACSL
LEVEL B
950 CAMPBELL AVE
#207
DANA-FARBER CANCER INSTITUTE
4350 VAN CORTLANDT PARK EAST
1040 BARNUM AVENUE
Page 26 of 54
10532-2140
06902-2451
06851-1080
06902-2594
06902-2594
02915-5061
06460-5540
06811-5178
06511-2181
06277-2609
02115-5724
06001-3677
06905-5315
12550-4851
06437-2748
10591-5521
10532-2144
06510-3220
06606-2864
06606-2864
06904-9317
10029-6574
06525-2296
06614-5236
06904-9317
06078-2091
06810-7863
06451-2101
06870-1642
06457-3920
02852-9999
02903-4923
06708-3105
06510-3220
06519-1109
06457-7023
06831-5100
06248-0157
06810-5023
06519-0309
06516-2770
06810-4015
06426-1428
06040-6059
06516-2770
06492-6013
10536-0800
06250-1683
02215-5418
10470-1875
06614-4968
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1013901453
1174604532
1912965708
1962645192
1669898565
1285655365
1063657294
1093035883
1407182249
1033178926
1649604331
1184641060
1902079304
1205110533
1790823888
1275518102
1780640383
1023125598
1366647463
1407034945
1407009582
1538198940
1346324027
1134186760
1205802345
1033140876
1366465973
1619916707
1770787541
1013945344
1497065163
1730375247
1871573071
1275547358
1003188814
1932322120
1629003918
1598707762
1043488422
1134180912
1780670240
1922086487
1710970280
1821229386
1720278302
1457427510
1386087252
1912076613
1225164262
1144203001
1619089513
KUNKEL
KURIAN
KURIEN
KURLANDER
KURNIAWATI
KURTH
KURTZMAN
KURTZMAN
KWAK
L HEUREUX
LACHANT
LAEDLEIN
LAFF
LAGRASTA
LAI
LAIRD
LAKRITZ
LAMANA
LAMPE
LANDMANN
LANDOLFI
LANDRES
LANDRETH
LANE
LANE
LANE
LANE
LANGERMAN
LANSON
LANZILLO
LAPLANTE
LAPORTA
LAQUAGLIA
LASALA
LASKY
LASSER
LAST
LASTOMIRSKY
LATIF
LATIMER
LAU
LAUBACH
LAUDONE
LAUFER
LAVANTURE
LAVOIE
LAWTON
LAZAR
LAZROVE
LEBOEUF
LEBOVICS
STEPHENIE
LESLIE
SANTHA
CARA
RUTH
PAMELA
HEATHER
JASON
YOUNG
CYNTHIA
LINDSAY
MARGOT
RACHEL
CHRISTINE
JAMES
DENNIS
NEAL
SAMUEL
STEFAN
DAN
ROSE
RACHEL
BARBARA
CHARLES
CHRISTOPHER
EDWARD
JEFFREY
SUSAN
BIANA
CHARLES
SHARRON
ANNA
MICHAEL
FRANCIS
JODI
JAY
GARY
DAVID
AYMAN
JOHN
KIRKLAND
JACOB
VINCENT
ILYA
DANA
WILLIAM
KELLEY
JOAN
STEVEN
WILLIAM
EDWARD
130 DIVISION
1635 CENTRAL AVENUE
27 HOSPITAL AVE
950 CAMPBELL AVENUE
759 CHESTNUT STREET
345 NORTH MAIN ST
263 FARMINGTON AVENUE
41 BREWSWER ROAD
20 YORK STREET, CB-2041
201 WEST MAIN STREET
94 LOCUST AVENUE
166 WEST BROAD STREET
950 CAMPBELL AVE
300 LONGWOOD AVENUE
5 PEQUOT PARK ROAD
64 ROBBINS STREET
222 CAREW ST
43 WOODLAND STREET, STE G-80
CONNECTICUT VALLEY HOSPITAL
1351 WASHINGTON BLVD
75 SEMINARY HILL RD
CHILDREN''S & WOMENS PHYSICIAN
115 E 67TH ST APT 1C
180 FLOYD AVENUE
95 CHURCH STREET
4675 MAIN STREET
183 BOSTON POST RD
950 CAMPBELL AVE
30 SHELBURNE RD
200 SANDY HOLLOW ROAD
177 WESTON STREET
20 YORK STREET, CB-2041
1275 YORK AVE
263 FARMINGTON AVENUE
171 GRANDVIEW AVE
CENTER FOR WORK STRESS REDUCTI
580 COTTAGE GROVE ROAD
111 BEACH ROAD
535 SAYBROK RD
WACHUSETT EMERGENCY PHYSICIANS
111 SALEM TURNPIKE
450 BROOKLINE AVENUE
1275 YORK AVE
1275 YORK AVE
195 EASTERN BLVD
761 BOSTON POST RD
36 EAST MAIN STREET
55 NYE ROAD
1000 SILVER STREET
5300 KIDSPEACE DRIVE
CHILDREN'S & WOMAN'S PHYSICI
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
SUITE 304
FIRM A, MAIL CODE 11ACSL
BAYSTATE PEDIATRIC GENETICS
SUITE 302
EMERGENCY MEDICINE
SUITE 204
SUITE 301
GOTHIC PARK
1000 SILVER STREET
100 WOODS ROAD
SUITE 404
EMERGENCY MEDICINE
SUITE 101
1031 FARMINGTON AVENUE
3RD FLOOR
60 HOSPITAL RD
SUITE 7
DANA-FARBER CANCER INSTITUTE
SUITE 200
SUITE 102
BOX 351
19 BRADHURST AVE. STE 206
Page 27 of 54
City
State Zip Code
Phone Number
DERBY
BRIDGEPORT
DANBURY
WEST HAVEN
SPRINGFIELD
WEST HARTFORD
FARMINGTON
BRISTOL
NEW HAVEN
NIANTIC,
DANBURY
STAMFORD
WEST HAVEN
BOSTON
WESTBROOK
WATERBURY
SPRINGFIELD
HARTFORD
MIDDLETOWN
STAMFORD
CARMEL
VALHALLA
NEW YORK
ROCKY POINT
WHITE PLAINS
BRIDGEPORT
EAST LYME
WEST HAVEN
STAMFORD
MYSTIC
HARTFORD
NEW HAVEN
NEW YORK
FARMINGTON
WATERBURY
FARMINGTON
BLOOMFIELD
FAIRFIELD
MIDDLETOWN
LEOMINSTER
NORWICH
BOSTON
NEW YORK
NEW YORK
GLASTONBURY
OLD SAYBROOK
AVON
GLASTONBURY
MIDDLETOWN
OREFIELD
HAWTHORNE
CT
CT
CT
CT
MA
CT
CT
CT
CT
CT
CT
CT
CT
MA
CT
CT
MA
CT
CT
CT
NY
NY
NY
VA
NY
CT
CT
CT
CT
CT
CT
CT
NY
CT
CT
CT
CT
CT
CT
MA
CT
MA
NY
NY
CT
CT
CT
CT
CT
PA
NY
616-464-0027
203-551-7464
203-743-3833
203-932-5711
413-794-8890
860-233-9772
860-679-4636
860-585-3024
203-688-1734
860-451-3001
203-798-0500
203-276-6151
203-932-5711
617-355-8537
860-399-6661
215-442-5046
413-781-1186
860-533-3091
860-262-5400
203-327-5808
845-225-3400
914-922-2241
212-772-7569
800-645-3055
914-946-1249
203-372-0009
860-739-7786
203-932-5711
203-276-2000
860-536-4916
860-240-1840
203-688-1734
646-227-3813
860-679-4636
203-757-9336
860-679-0473
860-242-8644
203-255-2340
860-346-5226
978-466-2995
860-859-2262
617-632-5917
646-227-3813
646-227-3813
860-781-6285
860-388-9300
860-674-0333
860-657-3056
860-262-5868
610-799-7089
914-922-2241
06418-1326
06610-1254
06810-5954
06516-2770
01199-1619
06117-2515
06030-2000
06010-5141
06510-3220
06357-1410
06810-5954
06902-3661
06516-2770
02115-5724
06498-2856
06708-2613
01104-4103
06105-2363
06457-7023
06902-2468
12533-1921
10595-1530
10065-5990
24151-1318
10601-1520
06606-1813
06333-1605
06516-2770
06904-9317
06355-1720
06120-6120
06510-3220
10065-6007
06030-1930
06708-2519
06032-1576
06002-3032
06824-6668
06457-4743
01453-2205
06360-6459
02215-5418
10065-6007
10065-6007
06033-1208
06475-1226
06001-3801
06033-1281
06457-7023
18069-2044
10532-2140
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
Service Address Line 2
City
State Zip Code
Phone Number
1518917020
1043229784
1346258209
1386722494
1922170679
1659532638
1922140326
1235265919
1811171887
1073608550
1659356897
1912970864
1366602054
1629189980
1689778284
1457676645
1093731333
1558302513
1225068372
1801186101
1750479549
1144255316
1578522454
1154391159
1881785673
1881785673
1063824191
1033287982
1215931829
1821098245
1629019807
1699768507
1174851117
1518955236
1518967512
1730291766
1821038902
1194700831
1487741211
1992824296
1154473817
1306040860
1225004765
1790992196
1366551319
1669472403
1679551410
1972887511
1861427742
1942481098
1275545899
LEBRUN
LEBSON
LEDERER
LEDERER
LEDERMAN
LEDFORD
LEE
LEE
LEE
LEE
LEE
LEE
LEE
LEE
LEE
LEE
LEGARE
LEINHARDT
LEITAO JR
LEKWAUWA
LENT
LEONHARDT
LERCHE
LESSER
LESTER
LESTER
LETSCHER
LEV
LEVADA
LEVEN
LEVENSON
LEVENSON
LEVESQUE
LEVI
LEVIN
LEVIN
LEVINE
LEVINE
LEVINE
LEVINE
LEVINE
LEVINE
LEVINE
LEVINE
LEVINSON
LEVINSON
LEVISOHN
LEWIS
LEWIS
LEWIS
LHEUREUX
YVES
ROBERT
BENJAMIN
DAVID
LAURENCE
MATTHEW
BANDY
EUDOCIA
HELEN
KATHERINE
KINSON
LISA
MICHAEL
MOON
TERESA
THERESA
ROBERT
KATHRYN
MARIO
RUBY
KIRA
MERRILEE
ADAM
ROBERT
MITCHELL
MITCHELL
KATHLEEN
LEONARD
ANDREW
LEONARD
LAWRENCE
LEWIS
CAITLIN
DAVID
AARON
STEVEN
ALANNA
DOUGLAS
ROBERT
ROBERT
RONALD
SARA
STEVEN
WENDY
PERITZ
WILLIAM
STEVEN
ELLEN
MARYANNE
MYRA
ANDRE
244 WESTCHESTER AVENUE
2440 WHITNEY AVENUE
63 HARMONY HILL RD
622 WEST 168 STREET
12 CURTIS STREET
263 FARMINGTON AVENUE
34 PARK ST
DANA FARBER CANCER INSTITUTE
20 YORK STREET, CB-2041
2150 MAIN STREET
64 ROBBINS STREET
400 CAPITAL BLVD
593 EDDY STREET
2397 BLACK ROCK TPKE
64 ROBBINS STREET
20 YORK STREET, CB-2041
11 WELLS ST
55 LOCK STREET
1275 YORK AVE
300 GEORGE STREET
60 LAFAYETTE ST
68 BRIDGE STREET
CHILDREN'S & WOMAN'S PHYSICIAN
1201 WEST MAIN STREET
148 EAST AVENUE
148 EAST AVENUE
800 CROSS RIVER ROAD
CONNECTICUT VALLEY HOSPITAL
1201 MAIN STREET
3 WEST END AVENUE
240 BRADLEY STREET
150 HAZARD AVE
420A SCRABBLETOWN RD
67 SANDPIT ROAD
CHILDREN''S & WOMAN''S PHYSICI
1 LONG WHARF DR
CHILDREN'S & WOMAN'S PHYSICI
1275 YORK AVE
34 MAPLE ST
120 MINEOLA BOULEVARD
475 COGNEWAUGH RD
GREENWICH ADOLESCENT MEDICINE
160 HAWLEY LANE
1275 POST ROAD, SUITE 202
16 JADA LANE
CHILDREN'S & WOMAN'S PHYSICIAN
50 STANIFORD ST
260 RIVERSIDE AVE
300 LONGWOOD AVE
435 LEWIS AVENUE
1160 BOSTON POST RD
SUITE 315
SUITE 210
WHITE PLAINS
HAMDEN
CHEPACHET
NEW YORK
MERIDEN
FARMINGTON
NEW HAVEN
BOSTON
NEW HAVEN
SPRINGFIELD
WATERBURY
ROCKY HILL
PROVIDENCE
FAIRFIELD
WATERBURY
NEW HAVEN
WESTERLY
NEW HAVEN
NEW YORK
NEW HAVEN
BRIDGEPORT
SUFFIELD
BARDONIA
WATERBURY
NORWALK
NORWALK
KATONAH
MIDDLETOWN
WATERBURY
OLD GREENWICH
NEW HAVEN
ENFIELD
NORTH KINGSTOWN
DANBURY
HAWTHORNE
NEW HAVEN
TAPPAN
NEW YORK
NORWALK
MINEOLA
COS COB
GREENWICH
TRUMBULL
FAIRFIELD
GREENWICH
VALHALLA
BOSTON
WESTPORT
BOSTON
MERIDEN
OLD SAYBROOK
NY
CT
RI
NY
CT
CT
CT
MA
CT
MA
CT
CT
RI
CT
CT
CT
RI
CT
NY
CT
CT
CT
NY
CT
CT
CT
NY
CT
CT
CT
CT
CT
RI
CT
NY
CT
NY
NY
CT
NY
CT
CT
CT
CT
CT
NY
MA
CT
MA
CT
CT
914-946-9444
203-230-0906
401-949-0690
212-305-9819
203-237-5232
860-679-4636
203-974-7300
617-632-2166
203-688-1734
860-741-6572
203-573-6056
860-221-0797
401-854-2504
203-372-8961
203-573-6056
203-688-1734
401-273-0641
203-432-0076
646-227-3813
203-785-2095
203-576-4712
860-254-5360
914-922-2241
203-573-4885
203-838-4034
203-838-4034
914-763-8151
860-262-5868
203-573-4885
914-347-4510
203-562-3048
860-763-3569
401-295-7400
203-743-7246
914-922-2241
203-624-4208
914-922-2241
646-227-3813
203-852-2409
516-663-4938
203-629-5560
203-532-1919
203-380-3707
203-259-0880
203-869-0079
914-922-2241
617-726-3558
203-916-4000
617-355-8537
203-694-8630
860-388-3591
HUSKY Health Connecticut / Charter Oak Health Plan
PH 14 - 104
EMERGENCY MEDICINE
450 BROOKLINE AVENUE
3RD FLOOR
SUITE 901
SUITE 206
446 ROUTE 304-STE E
SUITE 100
SUITE 3G
SUITE 3G
1000 SILVER STREET - BOX 351
SUITE 100
SUITE C6
SUITE 308
19 BRADHURTS AVE. STE 1400
STE 212
422 WESTERN HWY
NEUROLOGY ASSOC OF NORWALK
SUITE 210
239 GLENVILLE ROAD
503 GRASSLANDS RD STE 200
3RD FLOOR
2ND FLOOR
Page 28 of 54
10604-2922
06518-3222
02814-1429
10032-3725
06450-5900
06030-1930
06519-1109
02215-5450
06510-3220
01104-3566
06708-2613
06067-3576
02903-4923
06825-3229
06708-2613
06510-3220
02891-2959
06511-8237
10065-6007
06510-6234
06604-1358
06078-3107
10954-1617
06708-3105
06851-5727
06851-5727
10536-0800
06457-7023
06708-3105
06870-1640
06510-1108
06082-4593
02852-3638
06810-4032
10532-2140
06511-5593
10983-1311
10065-6007
06850-3852
11501-4077
06807-9999
06831-4172
06611-5379
06612-6015
06830-4051
10595-1593
02114-2517
06880-4804
02115-5724
06451-2101
06475-0822
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1548295231
1366573370
1518171727
1598861247
1023039146
1609835362
1245233238
1669584686
1659465003
1003017021
1316906498
1528000858
1083805410
1679891832
1841283736
1316244585
1710991435
1114089687
1902847262
1144395716
1487650693
1447341243
1912206897
1578709044
1639250087
1043272156
1003855339
1700931342
1811089873
1407961956
1346467164
1063404374
1225102247
1891790846
1821183377
1609062603
1639407513
1144220591
1558396408
1609094549
1245563089
1629043963
1861457814
1881744456
1942564224
1154413615
1265528004
1013122258
1770555187
1265591879
1134212798
LI
LICHTENSTEIN
LICHTENSTEIN
LIEBERT
LIEBMANN
LIEBOWITZ
LIFTIG
LIGHAM
LIGORSKI
LIM
LIN
LINCOLN
LINCOLN
LINDBERG
LINDEN
LINDENBAUM
LINDQUIST
LIPSCHITZ
LIPSCHUTZ
LISTOKIN
LITCHMAN
LITCHMAN
LIVADA
LIVINGSTONE
LLOVET
LOCHRIDGE
LOCKHART
LOGAN
LOIEWSKI
LOMBARDI
LOMBARDI
LOMBARDI
LONDON
LONG
LONGO
LOOMIS
LOPER
LOPEZ
LOPEZ
LOREFICE
LORELLO
LOTA
LOUCOPOULOS
LOUIT
LOULOUDES
LOVEJOY
LU
LU
LU
LUBELL
LUCAS
FUHAI
BRUCE
JEROME
PETER
OTTO
NEIL
STUART
DWIGHT
MARK
ANDREW
NANCY
LESILEY
MICHELLE
TRISTAN
ROBERT
YOCHEVED
DAVID
DEBORAH
STEVEN
TED
CHARISSE
MARK
NANCY
TAMARA
ROXANA
JILLIEN
GREGORY
KIMBERLY
DAVID
CATHERINE
KRISTIN
MARIA
DAVID
DENNIS
MICHAEL
CARRIE
COURTNEY
KRISTEN
ROLANDO
LAURENCE
LINDSEY
CONRADO
JOHN
AYMERIC
ADRIANNE
GLEN
EMMY
ESTHER
XIAOCHUN
HARRY
CYNTHIA
104 BENNETT AVENUE, SUITE 1B
50 NUNNAWAUK RD
113 LAFAYETTE STREET
CHILDREN'S & WOMAN'S PHYSICIAN
593 EDDY STREET
1031 FARMINGTON AVENUE
10 PRINCETON STREET
1 LONG WHARF DR
72 NORTH ST.
41 BREWSTER ROAD
450 BROOKLINE AVENUE
55 FRUIT ST
ONE VERNEY DRIVE
DEPARTMENT OF NEONATOLOGY
20 YORK STREET
100 WOODS ROAD
593 EDDY STREET
21 SHERMAN COURT
515 ROUTE 413
1450 WASHINGTON BLVD
30 SHELBURNE RD
148 EAST AVENUE
2800 MAIN ST.
759 CHESTNUT STREET
1635 CENTRAL AVENUE
300 LONGWOOD AVE
593 EDDY STREET
BERKSHIRE MEADOWS
115 SPENCER ST
100 HAYNES STREET, 2ND FLOOR
1 HOPPIN STREET
CHILDREN'S & WOMAN'S PHYSICI
567 VAUXHALL STREET EXTENSION
488 MONTAUK AVENUE
310 MAIN STREET
888 WHITE PLAINS RD
300 LONGWOOD AVE
BREWSTER RD
888 WHITE PLAINS RD
1443 EAST PUTNAM AVE
67 SAND PIT ROAD
800 CROSS RIVER ROAD
1330 BOSTON POST ROAD
148 EAST AVENUE
300 LONGWOOD AVENUE
29 LEWIS AVE
90 MORGAN ST.
20 YORK STREET,CB-2041
800 CROSS RIVER ROAD
CHILDREN'S & WOMAN'S PHYSICI
3350 MAIN STREET
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
222 WESTCHESTER AVE STE.202
STE 212
SUITE 201
DANA-FARBER CANCER INSTITUTE
YAW 4B
282 WASHINGTON STREET
CHILDREN''S & WOMENS PHYSICIAN
SUITE 3G
S3677
249 NORTH PLAIN RD.
DEQUATTRO CANCER CENTER
CORO WEST
19 BRADHURST AVE. STE 2400
SUITE 218
LLA
SUITE 208
SUITE 3G
SUITE 207
150 WHITE PLAINS RD STE 101
Page 29 of 54
City
State Zip Code
Phone Number
MILFORD
NEWTOWN
NORWICH
WHITE PLAINS
PROVIDENCE
FARMINGTON
WEST HARTFORD
NEW HAVEN
DANBURY
BRISTOL
BOSTON
BOSTON
GREENFIELD
HARTFORD
NEW HAVEN, CONNECTICUT
VALHALLA
PROVIDENCE
FAIRFIELD
LANGHORNE
STAMFORD
STAMFORD
NORWALK
BRIDGEPORT
SPRINGFIELD
BRIDGEPORT
BOSTON
PROVIDENCE
HOUSATONIC
WINSTED
MANCHESTER
PROVIDENCE
HAWTHORNE
WATERFORD
NEW LONDON
EAST HAVEN
TRUMBULL
BOSTON
BRISTOL
TRUMBULL
OLD GREENWICH
DANBURY
KATONAH
MILFORD
NORWALK
BOSTON
GREAT BARRINGTON
STAMFORD
NEW HAVEN
KATONAH
TARRYTOWN
SPRINGFIELD
PA
CT
CT
NY
RI
CT
CT
CT
CT
CT
MA
MA
NH
CT
CT
NY
RI
CT
PA
CT
CT
CT
CT
MA
CT
MA
RI
MA
CT
CT
RI
NY
CT
CT
CT
CT
MA
CT
CT
CT
CT
NY
CT
CT
MA
MA
CT
CT
NY
NY
MA
570-296-8494
203-270-2800
860-889-1011
914-922-2241
401-854-2504
860-677-2550
860-232-8466
203-624-4208
203-798-0068
860-585-3024
617-632-5917
617-724-6700
603-547-3311
860-545-8950
203-688-2984
914-922-2241
401-854-2504
203-256-9926
267-565-8239
914-401-8031
203-276-7058
203-838-4034
203-576-5435
413-794-5365
203-551-7464
617-919-7307
401-854-2504
413-528-2523
860-738-6985
860-533-3091
401-793-8830
914-922-2241
860-443-5822
860-444-2416
203-468-7181
203-268-2882
617-355-8537
440-627-2625
203-268-2882
203-637-4006
203-853-0003
914-763-8151
203-877-6593
203-838-4034
617-919-7309
413-447-2752
203-325-4087
203-688-1734
914-763-8151
914-922-2241
413-794-9338
18337-9760
06470-2319
06360-2708
10604-2926
02903-4923
06032-1411
06110-1893
06511-5593
06810-5653
06010-5141
02215-5418
02114-2696
03047-5000
06106-3322
06510-3202
10595-1530
02903-4923
06824-5825
19047-0036
06902-2451
06904-9317
06851-5727
06606-4201
01199-1619
06610-2717
02115-5724
02903-4923
01236-9741
06089-1140
06040-4113
02903-4923
10532-2144
06385-4332
06320-4615
06512-2919
06611-4552
02115-5724
06011-0977
06611-4552
06870-2222
06810-4032
10536-0800
06460-2711
06851-5727
02115-5724
01230-1713
06905-5466
06510-3220
10536-0800
10591-5521
01199-1619
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1093966954
1801012075
1639209398
1174877971
1538422852
1922087832
1811996556
1790075257
1629281993
1598074924
1659426427
1154429413
1083663249
1740342013
1700932258
1740442730
1275680415
1740260058
1073638169
1235149832
1598830804
1487894986
1750442794
1922213206
1902009376
1063444594
1295830784
1578570834
1245321553
1083649933
1215959135
1285677674
1225364557
1194010595
1245465442
1134292881
1275601106
1528152113
1528039575
1295714020
1164608154
1386699577
1083896906
1194899351
1851479844
1750618955
1801015854
1588983761
1639226566
1679597744
1366512402
LUCCHI
LUCK
LUGO
LUKASZEWICZ
LUONGO
LYNCH
LYNCH
LYNCH
LYNGAAS
MACDONALD
MACGREGOR
MACHLEDT
MACKINNON
MACKINTOSH
MACKLER
MACKNIN
MADRIS
MAGALDI
MAGGIORE
MAGNANI
MAHALINGAIAH
MAHONEY WEST
MAIN
MAINWARING
MAJCZAK
MAKIMURA
MALEN
MALHOTRA
MALINA
MALISON
MALLEY
MANADAN
MANCA
MANDAL
MANDALAYWALA
MANDARA
MANEVICH
MANGAN
MANGINO
MANNA
MANNING, D.O.
MANNINI
MANNION
MANZO
MARACHI
MARCHIONI (BEERY)
MARCOUS
MARCUS
MARCUS
MARCUS
MARGOULEFF
NORA ANN
LEON
RAQUEL
MAGDALENA
ANN
DARREN
MICHAEL
SEAN
BRIAN
MORAG
LESLIE
JOHN
BRUCE
BARBARA
FREDERIC
JONATHON
ROGER
JOHN
LISA
JANET
HALEVOOR
HELEN
ROY
JOHN
MARTA
HIDEO
RICHARD
YOGANGI
ALAN
ROBERT
SUSAN
PAUL
LISA
PURNIMA
DHANSUKHLAL
MDMD SILVIO
NATALIA
PATRICIA
DEBRA
MARIO
LYNNE
MATTHEW
MICHELE
RICHARD
JEAN
RENEE
KRISTIN
JUSTIN
KENNETH
NORMAN
DONALD
200 SANDY HOLLOW ROAD
34 MAPLE STREET
1000 SILVER STREET
23 CEDAR STREET
CATHOLIC CHARITIES
395 PLEASANT ST
40 CROSS STREET
20 YORK STREET, CB-2041
64 ROBBINS STREET
401 WEST THAMES ST
541 MAIN STREET
65 BEERS RD
88 BEACH STREET
12 SANDPIPER CRESCENT
46 DAGGETT DRIVE
195 EASTERN BOULEVARD
14 RYE RIDGE PLAZA
538 LITCHFIELD ST
40 CROSS STREET
40 WRIGHT ST
SILVER STREET
300 LONGWOOD AVENUE
23 CLARA DR., SUITE 201
240 INDIAN RIVER RD
1011 VETERANS MEMORIAL PARKWAY
ZERO EMERSON PL
17 EAST 96 STREET
CHILDREN'S & WOMAN'S PHYSICI
95 SCOVILL STREET
34 PARK STREET
CHILDREN'S & WOMAN'S PHYSICIAN
70-31A 108TH ST
20 YORK STREET, CB-2041
CHILDREN''S & WOMAN''S PHYSICI
185 W. MAIN STREET
27 OAK STREET
1635 CENTRAL AVENUE
CHILDREN'S & WOMAN'S PHYSICI
1275 YORK AVE
1310 84TH ST SUITE 1
1000 SILVER STREET
185 ROUTE 312
3423 DANBURY ROAD
1320 WEST MAIN STREET
167 OLD POST ROAD
DIVISION OF GASTROENTEROLOGY
85 SEYMOUR STREET
20 YORK STREET
1 BRADLEY RD.
30 E. 40TH STREET
38-12 CORPORAL KENNEDY STREET
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
151 BROAD STREET
BLDG 301
SUITE 2C
SUITE 200
SUITE #151
SUITE 101
SUITE 300
WING MEMORIAL HOSPITAL
BOX 151
SUITE A7
BRADLEY HOSPITAL
STE 112
#1A
16 GUION PL
WATERBURY VA PRIMARY CARE CENT
503 GRASSLANDS RD STE 200
SUITE 7
45 READE PL
10 WEATHERVANE DR.
BOX 351
BLDG 2
263 FARMINGTON AVE
SUITE 1000
YALE-NEW HAVEN HOSPITAL
SUITE 703
STE 1100
Page 30 of 54
City
State Zip Code
Phone Number
MYSTIC
NORWALK
MIDDLETOWN
NEW BRITAIN
MIDDLETOWN
NORTHAMPTON
NORWALK
NEW HAVEN
WATERBURY
NORWICH
NEW LONDON
EASTON
WESTERLY
MILFORD
WEST SPRINGFIELD
GLASTONBURY
RYE BROOK
TORRINGTON
NORWALK
PALMER
MIDDLETOWN
BOSTON
MYSTIC
ORANGE
EAST PROVIDENCE
BOSTON
NEW YORK
NEW ROCHELLE
WATERBURY
NEW HAVEN
VALHALLA
FOREST HILLS
NEW HAVEN
POUGHKEEPSIE
DUDLEY
STAMFORD
BRIDGEPORT
WASHINGTONVILLE
NEW YORK
BROOKLYN
MIDDLETOWN
BREWSTER
BREWSTER
WATERBURY
SOUTHPORT
FARMINGTON
HARTFORD
NEW HAVEN
WOODBRIDGE
NEW YORK
BAYSIDE
CT
CT
CT
CT
CT
MA
CT
CT
CT
CT
NH
CT
RI
CT
MA
CT
NY
CT
CT
MA
CT
MA
CT
CT
RI
MA
NY
NY
CT
CT
NY
NY
CT
NY
MA
CT
CT
NY
NY
NY
CT
NY
NY
CT
CT
CT
CT
CT
CT
NY
NY
860-536-4916
203-227-0837
860-262-5000
860-827-0071
860-342-0760
413-584-7787
203-845-2995
203-688-1734
215-442-5046
860-859-4674
603-526-3621
203-268-8737
401-596-0075
203-257-1851
413-747-9224
860-781-6285
914-253-6504
860-496-4085
203-845-2995
978-466-2994
860-262-5358
617-355-8537
860-536-1666
203-799-6625
401-432-1496
617-726-7948
212-722-5080
914-922-2241
203-932-5711
203-974-7016
914-922-2241
646-397-3343
203-688-1734
914-922-2241
508-943-9147
203-324-2262
203-551-7400
914-922-2241
646-227-3813
718-630-1404
860-262-5868
914-242-5621
845-279-7200
203-755-7115
203-259-1059
860-679-3878
860-257-4131
203-688-4242
203-772-0003
212-532-7999
718-428-1011
06355-1720
06856-5050
06457-7203
06052-1301
06457-3327
01060-3914
06851-4661
06510-3220
06708-2613
06360-7167
03257-7835
06612-1758
02891-2718
06460-7951
01089-4646
06033-1208
10573-2858
06790-6669
06851-4661
01069-1138
06457-7023
02115-5724
06355-1959
06437-3690
02915-5061
02114-2217
10128-0783
10801-5502
06706-1113
06519-1109
10595-1593
11416-4454
06510-3220
12601-3947
01571-3819
06905-5342
06610-2717
10992-2242
10065-6007
11228-9997
06457-7023
10509-2337
10509-4513
06708-3123
06890-1395
06032-1845
06106-5529
06510-3202
06525-2235
10016-1203
11361-1960
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1548209661
1376739623
1366418758
1396910279
1023153483
1912923889
1639178346
1225057714
1518967637
1982770145
1376573311
1720344187
1033265970
1073550307
1376626572
1861662975
1174771752
1023045143
1316299704
1396739231
1831276021
1356351894
1205873783
1669403820
1437133154
1427219765
1598821621
1750542783
1043563588
1740230358
1073539367
1306847371
1598884348
1306010129
1073683280
1932497955
1336260512
1992870638
1134312671
1609821073
1518187533
1831531334
1386630085
1659361327
1154367969
1548224512
1831191360
1245294198
1578577144
1649492752
1285682948
MARINACCIO
MARINGOLA
MARINGOLA JR
MARION
MARION
MARK TAAFEL, PA
MARKEY
MARKOWITZ
MARKOWITZ
MARKS
MARLETT
MARLOW
MAROON
MAROTTA
MARR
MARRERO-STEIN
MARTI
MARTIN
MARTIN
MARTIN
MARTINS
MARTIRE
MARZITELLI
MASCARDO
MASI
MASKARA
MASON
MASOODSINAKI
MASSEY
MASTINO
MASTROIANNI
MATHEW
MATHEW
MATHEW
MATHIAS
MATOS SANTANA
MATROS
MATULONIS
MATUSKEY
MAUREAU
MAVOR
MAXWELL
MAYER
MAYER
MAZEN
MAZZARA
MCALEER
MCANDREWS
MCARAW
MCBEAN
MCCABE
BARBARA
RYAN
RONALD
CHAD
IRENE
300 LONGWOOD AVENUE
360-14 NORTH MAIN ST
111 WEST MAIN STREET
789 HOWARD AVE
1060 DAY HILL ROAD
130 DIVISION
40 CROSS STREET
40 HART STREET
CHILDREN''S & WOMAN''S PHYSICI
1563 POST ROAD EAST
20 YORK STREET, CB-2041
C/O CENTER FOR OPTIMUM HEALTH
39 WEBSTER SQUARE RD
9 KEELER COURT
1275 YORK AVE
CHILDREN''S & WOMENS PHYSICIAN
300 LONGWOOD AVENUE
888 WHITE PLAINS RD
1 TOWNE PARK PLAZA
299 CAREW ST
170 HAZARD AVE
4161 MADISON AVENUE
950 CAMPBELL AVE
598 DANBURY ROAD
4699 MAIN STREET
ONE TURKEY HILL RD SOUTH
80 TOWN LINE ROAD
CONNECTICUT VALLEY HOSPITAL
300 LONGWOOD AVENUE
1261 POST ROAD
340 CAPITOL AVENUE
CHILDREN'S & WOMAN'S PHYSICI
5300 KIDSPEACE DRIVE
500 CHASE PARKWAY
84 HOSPITAL AVENUE
20 YORK STREET
1275 YORK AVE
450 BROOKLINE AVENUE
CONNECTICUT VALLEY HOSPITAL
64 ROBBINS STREET
5151 PARK AVENUE
300 BOSTON POST ROAD
132 MORGAN STREET
450 BROOKLINE AVENUE, LW205
CHILDREN'S & WOMAN'S PHYSICIAN
29 HAYNES STREET
2890 MAIN STREET
4 CORPORATE DRIVE
97 ELM STREET
1305 POST ROAD
1169 ELLINGTON ROAD
PAUL
KIRSTEN
ROBERT
LAURA
KAREN
JOHN
MICHAEL
ROCCO
BRIAN
MARGOT
CANDICE
DAVID
JULIE
LUZ
SUSAN
ROBERT
KAREN
RENATO
ANTHONY
PAMELA
GERARD
SARAH
KATHLEEN
CHRISTOPHER
PATRICK
RAJAMMA
SUJA
THOMAS
TAMAR
TEOFILO
EVAN
URSULA
DAVID
MICHELLE
ANNE
LINDA
FERN
ROBERT
MARIA
JAMES
PATRICIA
BECKY
JAMES
JASON
BARBARA
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
SUITE 300
91 LAKES RD
172 EAST AVENUE
503 GRASSLANDS RAOD
SUITE 300
SUITE 106
1000 SILVER STREET
SUITE 200
19 BRADHURTS AVE. STE 1400
TOMPKINS, 209
DANA-FARBER CANCER INSTITUTE
BOX 351 - 1000 SILVER STREET
HEALTH SERVICES
DANA-FARBER CANCER INSTITUTE
100 WOODS RD
SUITE C
SUITE 186
SUITE 310
Page 31 of 54
City
State Zip Code
Phone Number
BOSTON
SOUTHINGTON
MERIDEN
NEW HAVEN
WINDSOR
DERBY
NORWALK
NEW BRITAIN
MONROE
WESTPORT
NEW HAVEN
NEW CANAAN
BERLIN
RIDGEFIELD
NEW YORK
VALHALLA
BOSTON
TRUMBULL
NORWICH
SPRINGFIELD
ENFIELD
TRUMBULL
WEST HAVEN
RIDGEFIELD
BRIDGEPORT
WESTPORT
ROCKY HILL
MIDDLETOWN
BOSTON
FAIRFIELD
BRIDGEPORT
HAWTHORNE
OREFIELD
WATERBURY
DANBURY
NEW HAVEN
NEW YORK
BOSTON
MIDDLETOWN
WATERBURY
FAIRFIELD
WEST HAVEN
STAMFORD
BOSTON
VALHALLA
MANCHESTER
STRATFORD
SHELTON
OLD SAYBROOK
STRATFORD
SOUTH WINDSOR
MA
CT
CT
CT
CT
CT
CT
CT
NY
CT
CT
CT
CT
CT
NY
NY
MA
CT
CT
MA
CT
CT
CT
CT
CT
CT
CT
CT
MA
CT
CT
NY
PA
CT
CT
CT
NY
MA
CT
CT
CT
CT
CT
MA
NY
CT
CT
CT
CT
CT
CT
617-919-7309
860-621-6759
203-237-6325
203-785-4198
860-688-5595
616-464-0027
203-845-2995
860-225-1227
914-922-2241
203-319-3939
203-688-1734
203-972-0402
860-828-3933
732-828-0361
646-227-3813
914-304-5313
617-355-8537
203-268-2882
317-509-3900
413-739-7680
860-749-2022
203-374-4300
866-808-7921
203-431-0280
203-374-8182
203-227-7530
860-258-2380
860-262-5000
617-355-8537
203-292-6694
203-336-3303
914-922-2241
610-799-8160
203-755-6677
203-792-0400
203-688-9503
646-227-3813
617-632-5917
860-262-5868
215-442-5046
203-371-7838
203-932-7079
203-969-0123
617-632-5917
914-922-2241
860-282-4022
203-375-8200
203-800-5000
860-388-4439
203-259-7709
860-757-3220
02115-5724
06489-2503
06451-4141
06519-1304
06095-5719
06418-1326
06851-4661
06052-1743
10950-2694
06880-5602
06510-3220
06840-5615
06037-2326
06877-1000
10065-6007
10595-1503
02115-5724
06611-4552
06360-2559
01104-2361
06082-4520
06611-3533
06516-2700
06877-2178
06606-1830
06880-5525
06067-1249
06457-7023
02115-5724
06824-6072
06606-5412
10532-2140
18069-2044
06488-3346
06810-6047
06510-3202
10065-6007
02215-5418
06457-7023
06708-2613
06825-1111
06516-1916
06905-5431
02215-5418
10595-1530
06040-0401
06614-4980
06484-6266
06412-4144
06824-6018
06074-3515
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1306094396
1164401493
1497902597
1427022565
1154500981
1356573265
1386964377
1760793863
1124176854
1518278910
1376947432
1508880931
1962458174
1861473431
1023009230
1265450936
1639245244
1609819671
1770898694
1295984250
1922360817
1669674750
1184647604
1437413085
1669518932
1629390562
1215919782
1881726123
1619315637
1740278472
1093924284
1952654931
1144331166
1245579853
1992796155
1912146465
1528168879
1538207147
1710936414
1437134426
1265489033
1215153267
1184863102
1730133919
1215930615
1316359599
1447379516
1417949405
1255500153
1609000595
1205823796
MCCABE
MCCARTHY
MCCARTHY
MCCARTIE
MCCARVELL
MCCLOSKEY
MCCLOSKEY
MCCORMICK
MCDONALD
MCDONOUGH
MCDOWELL
MCEWAN
MCFADDEN
MCGLASHAN
MCGOLDRICK
MCGONAGLE
MCGOWAN
MCKAY
MCKENNA
MCKENNA
MCKENNA
MCKENNA
MCKENNEY
MCLAIN
MCLAUGHLIN
MCLAUGHLIN
MCLAUGHLIN
MCLENNON
MCLIMANS
MCMAHON
MCMANUS
MCMILLIAN
MCNAMARA
MCNAMARA
MCNEIL
MCSWEENEY
MECKEL
MEGIBOW
MEHIGAN
MEHRARA
MEJNARTOWICZ
MELAMED
MELCHERT
MELCHINGER
MELCHIONO
MELENDEZ
MELTZER
MEMBRINO
MENDELSOHN
MENDELSOHN-LEVIN
MENDOZA
BARBARA
CHRISTINE
COLLEEN
JOHN
KATHLEEN
LUANNE
MICHELLE
CHRISTINA
LLOYD
MARYANN
ANDREW
NED
DAVID
THOMAS
PATRICIA
JAN
HEATHER
D JAMES
JENNIFER
MARIA
MARLENE
MAUREEN
MARY
BARBARA
KEVIN
PAIGE
SUZANNE
DANIEL
SHARON
JAMES
THOMAS
ERICA
CYNTHIA
DANIEL
BARRY
JULIA
MARIE
CRAIG
JENNIFER
BABAK
SLAWOMIR
JOEL
KRISTINA
DAVID
MAURICE
CLAUDIA
STEVEN
RALPH
ROBIN
LAUREN
GLENN
98 S. MAIN ST
185 BIRCH STREET
1275 YORK AVE
CROTCHED MOUNTAIN REHAB CTR
189 STORRS RD
2 MEDICAL CENTER DRIVE STE 309
426F SCRABBLETOWN RD.
1 RIVER STREET
112 CROSS ROAD
20 YORK STREET, CB-2041
1 LONG WHARF DR
36 HOYT STREET
15 PARKMAN ST
34 PARK ST.
141 SOUTH CENTRAL PARK AVENUE
CMRC
CHILDREN'S & WOMAN'S PHYSICI
990 MIGEON AVE
800 CROSS RIVER ROAD
CHILDREN'S & WOMAN'S PHYSICIAN
75 SEMINARY HILL RD.
CHILDREN'S & WOMAN'S PHYSICI
450 BROOKLINE AVE.
CHILDREN'S & WOMENS PHYSICIAN
148 EAST AVENUE SUITE2F
300 GEORGE ST.
593 EDDY STREET
16 LAKE ST.
1 RIVER STREET
67 SAND PIT ROAD
4 WILDWOOD MEDICAL CENTER
400 CAPITAL BLVD
950 CAMPBELL AVENUE
20 YORK STREET, CB-2041
435 LEWIS AVENUE
300 LONGWOOD AVENUE
11 WILBRAHAM RD
300 FEDERAL ROAD
300 LONGWOOD AVE
1275 YORK AVE
55 LOCK STREET
1461 SOUTH BRITAIN ROAD
CHILDREN'S & WOMAN'S PHYSICI
100 YORK STREET
300 LONGWOOD AVE
800 CROSS RIVER ROAD
3 NORTHWESTERN DRIVE
571 WOLCOTT ST
1275 YORK AVE
25 VALLEY DRIVE
CHILDREN''S & WOMAN''S PHYSICI
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
ONE VERNEY DRIVE
BAYSTATE MEDICL PRACTICES
THUNDERMIST HEALTH CENTER
STE 212
WAC 730S
ONE VERNEY DRIVE
115 MAIN STREET STE 301
100 WOODS RD
10 WEATHERVANE DR.
19 BRADHURST AVE., SUITE 1400
STE. 901
THUNDERMIST HEALTH CENTER
3RD FLOOR
COTTAGE 3
100 WOODS RD
SUITE 2E
45 READE PL
Page 32 of 54
City
State Zip Code
Phone Number
NORWALK
WILLIMANTIC
NEW YORK
GREENFIELD
MANSFIELD
SPRINGFIELD
N. KINGSTOWN
WAKEFIELD
WATERFORD
NEW HAVEN
NEW HAVEN
STAMFORD
BOSTON
NEW HAVEN
HARTSDALE
GREENFIELD
TUCKAHOE
TORRINGTON
KATONAH
VALHALLA
CARMEL
WASHINGTONVILLE
BOSTON
HAWTHORNE
NORWALK
NEW HAVEN
PROVIDENCE
COVENTRY
WAKEFIELD
DANBURY
ESSEX
ROCKY HILL
WEST HAVEN
NEW HAVEN
MERIDEN
BOSTON
SPRINGFIELD
BROOKFIELD,
BOSTON
NEW YORK
NEW HAVEN
SOUTHBURY
VALHALLA
NEW HAVEN
BOSTON
KATONAH
BLOOMFIELD
WATERBURY
NEW YORK
GREENWICH
POUGHKEEPSIE
CT
CT
NY
NH
CT
MA
RI
RI
CT
CT
CT
CT
MA
CT
NY
NH
NY
CT
NY
NY
NY
NY
MA
NY
CT
CT
RI
CT
RI
CT
CT
CT
CT
CT
CT
MA
MA
CT
MA
NY
CT
CT
NY
CT
MA
NY
CT
CT
NY
CT
NY
203-899-2494
860-465-0185
646-227-3813
603-547-3311
860-908-3082
413-794-5363
401-295-7400
401-767-4100
860-447-1787
203-688-1734
203-617-0691
203-323-5820
617-726-3872
203-974-7016
914-428-0529
603-547-3311
914-922-2241
860-482-8556
914-763-8151
914-922-2241
845-225-3400
914-922-2241
617-632-3000
914-493-7997
203-866-0061
203-675-6196
401-444-6484
860-742-0539
401-767-4100
203-743-7246
860-767-2314
860-221-9797
203-932-5711
203-688-1734
203-694-8200
617-355-8537
413-794-3710
203-775-1800
617-919-7307
646-227-3813
203-432-0075
203-586-2000
914-922-2241
203-787-5202
617-919-7307
914-763-8151
860-242-5594
203-753-9503
646-227-3813
203-622-4301
914-922-2241
06854-3126
06226-2295
10065-6007
03047-5000
06250-1683
01199-1619
02852-3638
02879-3214
06385-1204
06510-3220
06511-5593
06905-5613
02114-3117
06519-1109
10530-2340
03047-5000
10707-2948
06790-4555
10536-0800
10595-1530
10512-1921
10992-2242
02215-5450
10532-2144
06851-5726
06511-2222
02903-4923
06238-0327
02879-3214
06810-4032
06426-1154
06067-3576
06516-2770
06510-3220
06451-2102
02115-5724
01199-1619
06804-2412
02115-5724
10065-6007
06511-2837
06488-0901
10595-1530
06511-5664
02115-2567
10536-0800
06002-3465
06705-1310
10065-6007
06831-5203
12601-3947
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1063621506
1518095645
1245426253
1295749299
1053336818
1346357001
1174660211
1790704690
1144662156
1851642250
1548238710
1710053939
1033285333
1649588229
1548240518
1609182898
1902834369
1801896378
1093752214
1376539205
1679736870
1306939087
1992859060
1982908612
1902197189
1437356706
1184692162
1578534640
1558380345
1861500704
1336255470
1255303764
1437266079
1487696282
1790756401
1679538334
1043291107
1407951122
1699801431
1235277161
1912108994
1962705236
1770849663
1316006638
1679561831
1275682213
1932277100
1568461465
1205800463
1669602835
1659565216
MENNESSON
MERCADO
MERCED
MERCHANT
MERER
MERRILL
MERRITT
MESSING
MEUNIER
MEYER
MEYERHARDT
MEYERS
MEYERS
MIAN
MICHAEL
MICHAEL
MICHAELIS
MICHAUD
MICHELMAN
MICKLEY
MIECZKOWSKI
MIESZCZANSKI
MILARDO
MILBERT
MILLARD
MILLER
MILLER
MILLER
MILLER
MILLER
MILLER
MILLER
MILLIKEN
MILLMAN
MINI
MINTZ
MISRA
MISTRY
MITCHELL
MITCHELL
MITCHELL
MITCHELL-BOUDREAU
MITTLEMAN
MODESTO LOWE
MOGELOF
MOHAN
MOHIUDDIN
MOHREN GRAVES
MOHRER
MOISAN
MOJCIK
MICHEL
VANESSA
MARIANGELA
ROLAND
MICHELLE
GARY
CHRISTOPHER
BLAINE
SUSAN
MICHELLE
JEFFREY
JOHN
KATHARINE
ASMA
CALVIN
SHON GEORGE
JEFFREY
PIERRE
THOMAS
STEVEN
MARY
MELISSA
SEBASTIAN
MARYANNE
HUN
CALVIN
JEFFREY
JEFFREY
LYNNE
NORA
PAUL
SETH
LAURA
ERIC
KATHERINE
ABRAHAM
MADHUSMITA
SHILPA
DEBORAH
MARY ELLEN
RACHEL
CAROL
AMELIA
VANIA
ANDREW
SUMIT
ZAHUR
SHIRLEY
PETER
JOSEPH
CHRISTOPHER
42 JARVIS ROAD
CHILDREN'S & WOMAN'S PHYSICI
40 WRIGHT ST
593 EDDY STREET
CHILDREN'S & WOMENS PHYSICIAN
2215 BURDETT AVE.
593 EDDY STREET
115 FILLOW STREET, SUITE 30
CAPITOL REGION M. HLTH CENTER
500 CHASE PARKWAY
450 BROOKLINE AVENUE
CAPITOL REGION MENTAL HEALTH C
1450 WASHINGTON BLVD
230 SOUTH FRONTAGE ROAD
800 CROSS RIVER ROAD
20 YORK ST.
3423 DANBURY ROAD
875 CENTERVILLE ROAD
29 LEWIS AVE
7 RIVERSVILLE ROAD
780 FARMINGTON AVE
130 DIVISION
9 MERIDEN ROAD
300 LONGWOOD AVENUE
YALE NEW HAVEN HOSPITAL
PAMELA ROBUSTELLO
6 SHAWS COVE
538 LITCHFIELD ST
1663 ROUTE 22 STE B5
30 SHELBURNE RD
258 MAIN AVE
6 GREENWICH OFFICE PARK
100 HAYNES STREET,2ND FLOOR
64 TRUMBULL STREET
CHILDREN'S & WOMEN'S PHYSICI
5520 PARK AVENUE
55 FRUIT ST
20 YORK STREET, CB-2041
MASSACHUSETTS GENERAL HOSPITAL
CHILDREN''S & WOMENS PHYSICIAN
1084 CROMWELL AVENUE
THE NEW ENGLAND CENTER FOR CHI
677 SOUTH MAIN STREET
1000 SILVER STREET
2499 MAIN STREET
635 WEST 168TH STREET
36 GARDNER STREET
NATCHAUG HOSPITAL
5 DURHAM RD
55 LAKE AVENUE NORTH
3203 MAIN STREET
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
701 N BROADWAY
WING MEMORIAL HOSPITAL
1075 CENTRAL PARK AVE,
3RD FLOOR ADMINISTRATION
BLAINE E. MESSING,MD,MSW,LLC
500 VINE STREET
DANA-FARBER CANCER INSTITUTE
500 VINE STREET
LCI-9
BUILDING 2
THE PEDIATRIC CARE CENTER LLC
YALE CHILD STUDY CENTER
75 SEMINARY HILL RD
SUITE 101
SUITE 101
DEQUATTRO CANCER CENTER
42 SHERWOOD PL.
SUITE 210
YAW 6
55 FRUIT STREET
755 NORTH BROADWAY
33 TURNPIKE ROAD
CONNECTICUT VALLEY HOSPITAL
PH-4 ROOM 124
189 STORRS RD
SUITE 5B
Page 33 of 54
City
State Zip Code
Phone Number
CHESHIRE
SLEEPY HOLLOW
PALMER
PROVIDENCE
SCARSDALE
TROY
PROVIDENCE
NORWALK
HARTFORD
WATERBURY
BOSTON
HARTFORD
STAMFORD
NEW HAVEN
KATONAH
NEW HAVEN
BREWSTER
WARWICK
GREAT BARRINGTON
GREENWICH
BRISTOL
DERBY
ROCKFALL
BOSTON
NEW HAVEN
CARMEL
NEW LONDON
TORRINGTON
BREWSTER
STAMFORD
NORWALK
GREENWICH
MANCHESTER
NEW HAVEN
GREENWICH
TRUMBULL
BOSTON
NEW HAVEN
BOSTON
SLEEPY HOLLOW
ROCKY HILL
SOUTHBOROUGH
CHESHIRE
MIDDLETOWN
STRATFORD
NEW YORK
EAST WINDSOR
MANSFIELD CENTER
GUILFORD
WORCESTER
BRIDGEPORT
CT
NY
MA
RI
NY
NY
RI
CT
CT
CT
MA
CT
CT
CT
NY
CT
NY
RI
MA
CT
CT
CT
CT
MA
CT
NY
CT
CT
NY
CT
CT
CT
CT
CT
CT
CT
MA
CT
MA
NY
CT
MA
CT
CT
CT
NY
CT
CT
CT
MA
CT
203-806-2544
914-922-2241
978-466-2994
401-854-2508
914-475-4300
518-270-3008
401-854-2504
203-505-1492
860-297-0909
203-755-6677
617-632-5917
860-297-0999
914-401-8031
203-785-2540
914-763-8151
203-785-6054
845-279-7200
401-828-4840
413-447-2752
203-531-1808
860-589-4501
616-464-0027
860-344-1763
617-355-8537
203-737-7129
845-225-3400
860-444-9022
860-496-4085
845-278-7107
203-276-7058
203-846-3424
203-869-1145
860-533-3091
203-865-1390
203-661-2440
203-372-6460
617-726-2909
203-688-1734
617-643-0711
914-366-3400
860-721-7561
508-481-1015
203-250-7577
860-262-5868
203-378-5588
212-305-5020
860-292-4020
860-456-1311
203-453-4870
508-334-8692
203-371-0009
06410-1503
10591-1020
01069-1138
02903-4923
10583-3237
12180-2466
02903-4923
06850-2840
06112-1639
06708-3346
02215-5418
06112-1639
06902-2451
06510-3202
10536-0800
06510-3220
10509-4513
02886-4366
01230-1713
06831-3627
06010-3920
06418-1326
06481-2908
02115-5724
06520-8023
10512-1921
06320-4969
06790-6669
10509-4050
06904-9317
06851-2748
06831-5100
06040-4113
06510-2118
06830-5638
06611-3465
02114-2696
06510-3220
02144-2622
10591-1076
06067-3445
01772-2108
06410-3158
06457-7023
06615-5843
10032-3270
06088-9675
06250-1683
06437-2076
01655-0002
06606-4225
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1861419400
1376577858
1124111828
1780761528
1245490374
1174566848
1336325596
1598941585
1700095056
1588700538
1154596997
1265727556
1285717009
1932125895
1457653123
1609804905
1497714570
1952320673
1497769608
1578708111
1467666347
1184673188
1902065618
1215969985
1508928797
1144355389
1740201102
1386931186
1811018401
1487671962
1881850626
1720029358
1891851739
1497763080
1164691457
1235228263
1649595414
1205813623
1730346313
1588611503
1043242134
1437239704
1306995675
1093736472
1184920274
1841480373
1760544332
1770851636
1598755753
1891753760
1922308147
MOLINELLI
MONAHAN
MONTANO
MONTELEONE
MOON
MOORADIAN
MOORCROFT
MOORCROFT
MOORE
MOORE
MOORE
MOORE
MOORE
MOORE
MORGAN
MORGAN
MORGAN
MORGAN
MORGENSTEIN
MORGENTHALER
MORIARTY
MOROCZ
MORRIS
MORRIS
MORRIS
MORRIS
MORROW
MORTAZAVI
MORTON
MOSKOVITZ
MOSKOWITZ
MOSKOWITZ
MOZZICATO
MUELLER
MUENSTERER
MUFTI
MUHLE
MULHALL
MULLAN
MULLANEY
MULLEN
MULLEN
MUMFORD-HALEY
MUMTAZ
MUNOZ
MUPPA
MURRAY
MURRAY
MURRAY
MURTHA
MUSCO
ELIZABETH
MARIANNE
RONALD
VIRGILLIO
CAROLINE
CHRISTOPHER
JILL
THOMAS
DEAN
EILEEN
MEAGAN
NICHOLAS
PAMELA
RICHARD
ANN
HARRY
JEFFREY
PETER
GINA
DIANE
KAREN
DIANA
HEATHER
JAMES
JENSA
LUC
MONICA
LARRY
LOIS
ANDREW
ALISON
HARRY
SEBASTIAN
FRIEDRICH
OLIVER
OMAR
REBECCA
JOHN
CHERYL
JOAN
DAVID
PETER
MARY
ARIF
JULIAN
MADHAV
ANIKA
JENNA
ROBERT
TIMOTHY
MATTHEW
500 W. PUTNAM AVE.
3020 WESTCHESTER AVE
310 MAIN STREET
CHILDREN'S & WOMAN'S PHYSICIAN
CHILDREN'S & WOMAN'S PHYSICI
377 COLMAN STREET
279 NEW BRITAIN RD
279 NEW BRITAIN RD
BREWSTER ROAD
108 NEW LONDON TPKE.
WINCHESTER CHEST CLINIC
99 WOODLAND ST
CONNECTICUT VALLEY HOSPITAL
101 DUDLEY STREET
300 LONGWOOD AVE
55 NYE ROAD
450 BROOKLINE AVENUE
CMHC
435 LEWIS AVE
SCSU GRANOFF HALL
6 BUSINESS PARK DRIVE
1040 BARNUM AVENUE
635 WEST 168TH STREET
3020 WESTCHESTER AVENUE
20 YORK STREET, CB-2041
1275 YORK AVE
1275 YORK AVE
YALE CHILD STUDY CENTER
2 BENEDICT PLACE
2150 MAIN STREET
1275 YORK AVE
342 ROUTE 202
SILVER STREET
999 SUMMER STREET
CHILDREN'S & WOMENS PHYSICIAN
HARTFORD HOSPITAL
230 SOUTH FRONTAGE ROAD
1275 YORK AVE
300 LONGWOOD AVE
36 BRIDGE WAY
16 SUNNY VALLEY RD
16 SUNNY VALLEY RD
1 RIVER STREET
1635 CENTRAL AVENUE
112 MANSFIELD AVENUE
5300 KIDSPEACE DRIVE
20 YORK STREET, CB-2041
300 LONGWOOD AVENUE
41 BREWSTER ROAD
1 JOSLIN PLACE
435 LEWIS AVE
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
LLA
263 N. BREWSTER RD
19 BRADHURST AVE. STE 2400
#6
#6
789 HOWARD AVE
1000 SILVER STREET
SUITE 102
DANA-FARBER CANCER INSTITUTE
34 PARK STREET
10 WINTERGREEN AVENUE
SUITE 304
MED NOW, P.C.
OH4 RM 124
230 S FRONTAGE ROAD
BOX 151
SUITE 200
19 BRADHURST AVE
80 SEYMOUR ST., S BUILDING 217
THUNDERMIST HEALTH CENTER
Page 34 of 54
City
State Zip Code
Phone Number
GREENWICH
PURCHASE
EAST HAVEN
BREWSTER
HAWTHORNE
NEW LONDON
BERLIN
BERLIN
BRISTOL
NORWICH
NEW HAVEN
HARTFORD
MIDDLETOWN
PROVIDENCE
BOSTON
GLASTONBURY
BOSTON
NEW HAVEN
MERIDEN
NEW HAVEN
BRANFORD
STRATFORD
NEW YORK
PORTCHESTER
NEW HAVEN
NEW YORK
NEW YORK
NEW HAVEN
GREENWICH
SPRINGFIELD
NEW YORK
SOMERS
MIDDLETOWN
STAMFORD
HAWTHORNE
HARTFORD
NEW HAVEN
NEW YORK
BOSTON
PASCOAG
NEW MILFORD
NEW MILFORD
WAKEFIELD
BRIDGEPORT
WILLIMANTIC
OREFIELD
NEW HAVEN
BOSTON
BRISTOL
BOSTON
MERIDEN
CT
NY
CT
NY
NY
CT
CT
CT
CT
CT
CT
CT
CT
RI
MA
CT
MA
CT
CT
CT
CT
CT
NY
NY
CT
NY
NY
CT
CT
MA
NY
NY
CT
CT
NY
CT
CT
NY
MA
RI
CT
CT
RI
CT
CT
PA
CT
MA
CT
MA
CT
203-622-0303
914-682-6454
203-468-7181
914-922-2241
914-922-2241
860-444-6363
860-438-7096
860-438-7096
440-627-2625
860-889-3052
203-785-4198
860-714-4577
860-262-5868
401-273-0641
617-355-8537
860-657-3056
617-632-5917
203-974-7560
203-284-1340
203-392-6300
203-776-4444
203-377-5733
212-305-5020
914-654-6543
203-688-1734
646-227-3813
646-227-3813
203-785-2516
203-622-6551
860-741-6572
646-227-3813
914-242-5621
860-262-5358
203-357-7773
914-493-7620
860-972-2977
203-785-3370
646-227-3813
617-355-8537
401-567-0800
860-354-1400
860-354-1400
401-767-4100
203-551-7400
203-284-1340
610-799-7089
203-688-1734
617-355-8537
860-585-3024
617-309-3428
330-493-4443
06830-6086
10577-2510
06512-2919
10509-2844
10532-2144
06320-3743
06037-3165
06037-3165
06011-0977
06360-2645
06519-1304
06105-1207
06457-7023
02905-2401
02115-5724
06033-1281
02215-5418
06519-9992
06451-2101
06515-1355
06405-2988
06614-4968
10032-3270
10577-2510
06510-3220
10065-6007
10065-6007
06520-1124
06830-5358
01104-3300
10065-6007
10589-3207
06057-7023
06905-9998
10532-2144
06102-5037
06519-1124
10067-6007
02115-5724
02859-0312
06776-3323
06776-3323
02879-3214
06606-2717
06226-2045
18069-2044
06510-3220
02115-5724
06010-5141
02215-5306
06451-2101
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1376595868
1518160514
1609972538
1750324356
1558335430
1346230521
1154320174
1366535163
1548242647
1023075850
1659593317
1548454622
1760525943
1952355174
1194861609
1841249331
1154581213
1326458217
1194834200
1295984672
1942459334
1639496623
1366441933
1134133804
1568481877
1891953196
1558461087
1396803649
1629379631
1376592899
1932216215
1891728853
1669426672
1740220714
1376637009
1720208200
1790055168
1912938473
1518991454
1255345179
1144342528
1538152921
1336161660
1316267479
1801816798
1316196686
1992720114
1053421834
1124367420
1962585042
1558438788
MUSHAWEH
MUZYKA
MYER
MYERS-ALBARIDI
MYSLENSKI
NACHTIGALL
NACKENSON
NAGALLA
NAHM
NAJARIAN
NAKIC
NALLY
NAMPOOTHIRI
NAPOLI
NARAD
NARADZAY
NASH
NASH
NASRAWAY
NAT
NAT
NATHAN
NATHAN
NATHANSON
NATHANSON
NAYAK
NAYOWITH
NAZARETH
NAZARIO
NEAGLE
NEERGHEEN
NEGBENEBOR
NEIMARK
NELKEN
NELSON
NELSON
NELSON
NESPOLI
NESTA
NESTOR
NEU
NEUBECKER
NEUHAUS
NEUPANE
NEUREITHER
NEWFIELD
NEWFIELD
NEWMEYER
NGO
NGUYEN TAN
NICKOLAS
JAROB
MICHELE
JENNIFER
ERIN
MICHAEL
LISA
MARCIA
BHAVANI
FREDERICK
NANCY
MARINA
JENNIE
SREEDEVI
ANTHONY
JOAN
JEROME
GARRETT
PATRICIA
STANLEY
HARSHDEEP
ROSY
LEIGH
PRAMILA
ANDREW
ROBERT
LAKSHMI
BRUCE
LUMINA
VANESSA
PAUL
CHABILAL
DARLENE
EZEQUIEL
MICHAEL
ANN
PETER
PHILLIP
MARC
LAURA
ELIZABETH
JANE
KARL
DAVID
BHUSAN
LAWRENCE
ANDRE
PHILIP
MICHELE
NGA
GIAC-CHAN
THOMAS
500 CHASE PARKWAY
34 PARK STREET
261 BRADLEY STREET
761 MAIN AVE
1 ROYCE CIRCLE
ZERO EMERSON PLACE
CHILDREN'S & WOMAN'S PHYSICI
VA CONNECTICUT HEALTH CARE
30 SHELBURNE RD
400 CAPITAL BLVD
1000 SILVER STREET
761 MAIN AVE
64 ROBBINS STREET
593 EDDY STREET
7 NORTH COVE ROAD
2215 BURDETT AVE
1275 YORK AVE
300 LONGWOOD AVE
800 WASHINGTON ST
20 YORK STREET, CB-2041
20 YORK STREET, CB-2041
20 YORK STREET
204 CHERRY ST
593 EDDY STREET
61 SOUTH MAIN ST
450 BROOKLINE AVE DA2108A
29 LEWIS AVE
1635 CENTRAL AVENUE
400 CAPITAL BLVD
BREWSTER
264 NORTH MAIN SREET
1450 WASHINGTON BLVD
593 EDDY STREET
117 ALSTON AVE
114 WOODLAND ST.
717 NEWFIELD STREET
500 CHASE PARKWAY
7 GERMANTOWN RD
64 ROBBINS STREET
593 EDDY STREET
185 BIRCH STREET
29 HAYNES ST
71 HAYNES ST MILLER BLDG
20 YORK STREET
573 HOPMEADOW STREET
800 CROSS RIVER ROAD
CHILDREN'S & WOMAN'S PHYSICI
CHILDREN''S & WOMEN''S PHYSICI
1300 POST RD
435 LEWIS AVE
635 WEST 168TH STREET
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
3RD FLOOR
SUITE 102
SUITE 104
STE 112
503 GRASSLANDS RD
555,WILLARD AVE
3RD FLOOR
SUITE 102
FITKIN STE 615
SUITE 309
3RD FLOOR
HASBRO LL
EASTERN CT MEDICAL PROFESSIONA
TOMPKINS, 209
422 WESTERN HWY
171 RAMAPA ROAD
SUITE 202
PH4 RM 124
Page 35 of 54
City
State Zip Code
Phone Number
WATERBURY
NEW HAVEN
NEW HAVEN
NORWALK
STORRS
BOSTON
VALHALLA
NEWINGTON
STAMFORD
ROCKY HILL
MIDDLETOWN
NORWALK
WATERBURY
PROVIDENCE
OLD SAYBROOK
TROY
NEW YORK
BOSTON
BOSTON
NEW HAVEN
NEW HAVEN
NEW HAVEN
MILFORD
PROVIDENCE
WEST HARTFORD
BOSTON
GREAT BARRINGTON
BRIDGEPORT
ROCKY HILL
BRISTOL
EAST LONGMEADOW
STAMFORD
PROVIDENCE
NEW HAVEN
HARTFORD
MIDDLETOWN
WATERBURY
DANBURY
WATERBURY
PROVIDENCE
WILLIMANTIC
MANCHESTER
MANCHESTER
NEW HAVEN
SIMSBURY
KATONAH
TAPPAN
GARNERVILLE
FAIRFIELD
MERIDEN
NEW YORK
CT
CT
CT
CT
CT
MA
NY
CT
CT
CT
CT
CT
CT
RI
CT
NY
NY
MA
MA
CT
CT
CT
CT
RI
CT
MA
MA
CT
CT
CT
MA
CT
RI
CT
CT
CT
CT
CT
CT
RI
CT
CT
CT
CT
CT
NY
NY
NY
CT
CT
NY
203-755-6677
203-974-7300
203-752-1733
860-282-4133
860-487-9200
617-726-7948
914-922-2241
860-666-6951
203-276-7058
860-882-8673
860-262-5000
860-282-4133
203-573-6056
401-854-2504
860-304-2049
518-271-3450
646-227-3813
617-919-7307
617-636-7105
203-688-1734
203-688-1734
203-785-2618
203-876-0545
401-854-2504
860-561-1350
617-632-3965
413-447-2752
203-551-7400
615-224-5438
440-627-2625
413-525-4157
914-401-8031
401-444-1767
203-387-0260
860-714-4801
860-347-1227
203-755-6677
203-798-8422
203-573-6056
401-854-2504
860-465-5263
860-282-4022
860-646-1222
203-688-9503
860-658-0010
914-763-8151
914-922-2241
914-922-2241
203-255-8827
330-493-4443
212-305-5020
06708-3346
06519-1109
06510-1104
06851-0001
06268-2260
02114-2217
10595-1593
06111-2600
06904-9317
06067-3576
06457-7203
06851-0001
06708-2613
02903-4923
06475-2538
12180-2466
10065-6007
02115-5724
02211-1526
06510-3220
06510-3220
06510-3202
06460-3555
02903-4923
06107-2403
02215-5450
01230-1713
06610-2717
06067-3576
06011-0977
01028-1838
06902-2451
02903-4923
06515-2001
06105-1212
06457-1815
06708-3346
06810-5033
06708-2613
02903-4923
06226-2295
06040-0401
06040-4131
06510-3202
06070-2462
10536-0800
10983-1311
10923-1552
06824-6038
06451-2101
10032-3270
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
Service Address Line 2
City
State Zip Code
Phone Number
1427016013
1902813587
1396764114
1851508048
1861568552
1639259252
1467424234
1356478408
1104016823
1457789257
1447232046
1891961413
1316341829
1750307948
1780797860
1750546925
1477692093
1437433661
1053384008
1285743419
1790909737
1861434607
1932140035
1811070972
1285851816
1720092828
1861476947
1982629655
1659553113
1134255771
1801052386
1689761108
1023360377
1326200346
1083890016
1265574560
1922276708
1588776173
1134267826
1043372600
1245221464
1235541376
1912929951
1639210644
1730150517
1710184833
1043324387
1811985633
1073556841
1336208677
1346659778
NICOLETTI
NICOLETTI
NIEMINSKI
NIKIFOROW
NIKOLOV
NISENBAUM
NOCEK
NOCHIMSON
NOLAN
NORMANDIN
NOROIAN
NORWOOD
NOTARINO
NOVELLA
NOYESDUGUAY
NURGE
NURZIA
O'BRIEN
O'DEA
O'HALLORAN
O'HARA
O'NEILL
OBERMAN
OBRIEN
OBRIEN
OCONNELL
OCONNOR
OESTREICHER
OFORI-MANTE
OGLAND
OGUNDIPE
OH
OHWEVWO
OKADA
OKASHA
OKEEFE
OKONIEWSKI
OLIN
OLSEN
OLSON
OMALLEY
OMBREMBOWSKI
ONG
ORLOSKI
ORTIZ
OSBAND
OSINSKI
OSTREM
OSTROVSKAYA
OTOLORIN
OTREBA
MARK
VALERIE
KAREN
SARAH
ROUMEN
MICHELLE
DAVID
DAVID
SHEILA
SARAH
GARY
JEFFREY
CHRISTINA
MICHELE
LISA
NANCY
MICHAEL
TRAVIS
DANIEL
JAMES
NANCY
DARREN
ERIC
MICHAEL
PATRICIA
GENEVIEVE
KEVIN
MARK
ELIZABETH
OLAF
TAIYE
MARILO
ONOJETA
HARUKO
MAHMOUD
LAUREN
ANASTASIA
CRAIG
LINDA
KRISTINE
KIMBERLI
RICHARD
ELIZABETH
LORRAINE
SANDRA
YARDAENA
ALPHONSE
MARK
ANNA
OLUBUNMI
CATHY
725 NORTH ST.
725 NORTH STREET
800 CROSS RIVER ROAD
450 BROOKLINE AVENUE
44 STRAWBERRY HILL AVE
1320 WEST MAIN ST
6 GREENWICH OFFICE PARK
15 DONAHUE RD
CHILDREN'S & WOMAN'S PHYSICI
435 LEWIS AVE
123 SUMMER STREET
435 LEWIS AVE
435 LEWIS AVENUE
7 OLD SHERMAN TURNPIKE
85 BEACH STREET
8 RONDALY RD
166 WEST BROAD STREET
5300 KIDSPEACE DRIVE
1 COLUMBIA STREET
199 CHESNUT HILL RD.
3 HOLLYHOCK LANE
701 ENFIELD STREET
CHILDREN'S & WOMAN'S PHYSICIAN
32 WATER STREET
300 LONGWOOD AVENUE
263 FARMINGTON AVENUE
300 FIRST AVE
160 HAWLEY LANE
20 YORK STREET, CB-2041
19 HALLS RD, SUITE 235
CONNECTICUT VALLEY HOSPITAL
1 LONG WHARF DR
JOSHUA CENTER THAMES VALLEY
195 EASTERN BOULEVARD
200 WEST TOWN STREET
30 SHELBURNE RD
134 STATE STREET
5 HIGH RIDGE PARK
600 NORTHERN BLVD
20 YORK ST.# CB-2041
300 LONGWOOD AVENUE
6 GREENWICH OFFICE PARK
555 WILLARD AVE
13 PARKLAWN DRIVE
CHILDREN'S & WOMAN'S PHYSICI
CHILDREN'S & WOMAN'S PHYSICI
800 CROSS RIVER ROAD
54 MILLER STREET
1440 WHALLEY AVE
20 YORK STREET, CB-2041
400 CAPITAL BLVD
BERKSHIRE MEDICAL CENTER
PITTSFIELD
PITTSFIELD
KATONAH
BOSTON
STAMFORD
WATERBURY
GREENWICH
N.GRANBY
HAWTHORNE
MERIDEN
WORCESTER
MERIDEN
MERIDEN
DANBURY
WESTERLY
AMSTON
STAMFORD
OREFIELD
POUGHKEEPSIE
LITCHFIELD
WILTON
ENFIELD
TAPPAN
STONINGTON
BOSTON
FARMINGTON
CHARLESTOWN
TRUMBULL
NEW HAVEN
OLD LYME
MIDDLETOWN
NEW HAVEN
NORWICH
GLASTONBURY
NORWICH
STAMFORD
MERIDEN
STAMFORD
ALBANY
NEW HAVEN
BOSTON
GREENWICH
NEWINGTON
BETHEL
BARDONIA
BRONX
KATONAH
QUINCY
NEW HAVEN
NEW HAVEN
ROCKY HILL
MA
MA
NY
MA
CT
CT
CT
CT
NY
CT
MA
CT
CT
CT
RI
CT
CT
PA
NY
CT
CT
CT
NY
CT
MA
CT
MA
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
NY
CT
MA
CT
CT
CT
NY
NY
NY
MA
CT
CT
CT
413-447-2752
413-881-5427
914-763-8151
617-632-5917
203-820-3224
203-755-9355
203-869-1145
860-653-3466
914-922-2241
330-493-4443
508-368-5424
330-493-4443
203-694-8630
203-947-5529
401-596-8311
860-424-6629
203-356-9391
610-799-7089
845-473-1188
860-496-8077
203-834-2813
860-741-6572
914-922-2241
860-535-2028
617-355-8537
860-679-4636
617-952-5000
203-377-0639
203-688-1734
860-434-9400
860-262-5000
203-624-4208
860-456-1311
860-781-6285
860-886-1508
203-276-7058
203-237-2229
203-276-6151
518-471-3266
203-688-1734
617-355-8537
203-869-1145
860-666-6951
203-770-3423
914-922-2241
914-922-2241
914-763-8151
617-481-3300
203-389-5599
203-688-1734
615-224-5438
HUSKY Health Connecticut / Charter Oak Health Plan
DANA-FARBER CANCER INSTITUTE
SUITE 2
BLDG #2
19 BRADHURTS AVE. STE 1400
SUITE 380N
SUITE 102
SUITE 404
422 WESTERN HWY
UNIT 15
MEDICAL STAFF OFFICE
EMERGENCY MEDICINE
SUITE 104
1000 SILVER STREET
STE 212
11A STOTT AVE
SUITE 200
SUITE 103
40 VALLEY DRIVE
446 ROUTE 304-STE E
4350 VAN CORTLANDT PARK EAST
3RD FLOOR
Page 36 of 54
01201-4132
01201-4019
10536-0800
02215-5418
06902-2632
06708-3131
06831-5100
06060-1404
10532-2140
06451-2101
01608-1216
06451-2101
06451-2101
06810-4174
02891-0717
06231-1744
06902-9317
18069-2044
12601-3932
06759-4132
06897-4443
06082-2961
10983-1311
06378-1470
02115-5724
06030-1930
02129-3109
06611-5379
06510-3220
06371-0046
06457-7023
06511-5593
06360-1638
06033-1208
06360-2112
06902-2638
06450-3293
06905-1326
12204-1004
06510-3220
02115-5724
06831-5151
06111-2631
06801-1043
10954-1617
10470-1875
10536-0800
02169-4725
06515-1144
06510-3220
06067-3576
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
Service Address Line 2
City
State Zip Code
Phone Number
1871792218
1225085533
1801827209
1073689238
1194893172
1043435134
1891812004
1386623957
1770849606
1548587892
1396709838
1912010158
1295773026
1174520316
1336557305
1093841850
1700815032
1942334750
1396077350
1255575122
1669633251
1285699488
1518914944
1265488738
1306916846
1376547992
1255458469
1942409289
1063621357
1952440943
1144382664
1407810955
1407817323
1326076795
1407939325
1639111008
1396951075
1699777441
1588671762
1003836958
1528050820
1669634705
1265434922
1710935481
1326471442
1538185509
1588755011
1992835540
1023218872
1679732101
1841272689
OTT
OVERMAN
OVERMOYER
OWENS
OWNBEY
PACHOLSKI
PACINI
PADILLA
PAESKE
PAIGE
PAIS
PALHETE
PALLANT
PALLANT
PALLESCHI
PALLI
PALMER
PANAGROSSI JR.
PANARELLA
PANDYA
PANICO
PANKE
PANNELLA
PANNILL
PANTALEO
PAPPAS
PAQUETTE
PARASHAR
PARIKH
PARKE
PARKER
PARKER
PARKER
PARKER
PARNOFF
PARSONS
PARSONS
PARTON
PARTRIDGE
PARTRIDGE
PARVEZ
PARVEZ
PARVEZ
PATEL
PATEL
PATEL
PATEL
PATEL
PATEL
PATEL
PATEL
PATRICK
LILLIAN
BETH
JEFFREY
RICHARD
VANESSA
JANELLE
ALFRED
JENNIFER
JOHN
SHIREEN
ANA
ADAM
BENNETT
SARAH
MARIABEATRICE
LANE
RICHARD
ANNE
SAMIR
MEGAN
RANDY
LEA
FITZHUGH
ANTONIO
ESTELL
JEANINE
SUDHA
NEETI
SUSAN
MICHAEL
MICHAEL
MICHELLE
PRIOR
JOHN
JULIAN
MARYTHERESA
LANCE
ANN
ROBERT
BORIANA
RIZWAN
SHAHID
BHAVESH
CAMILLE
CHIMAN
DANIEL
PADMAVATI
PAYAL
SHAHIL
SNEHAL
450 BROOKLINE AVENUE
144 MAIN ST.
450 BROOKLINE AVENUE
1563 POST ROAD EAST
CONNECTICUT VALLEY HOSPITAL
970 FARMINGTON AVENUE
20 YORK STREET, CB-2041
4 DEARFIELD DRIVE
20 YORK STREET, CB-2041
2215 BURDETT AVE
CHILDREN''S & WOMAN''S PHYSICI
2660 MAIN ST.
593 EDDY STREET
CHILDREN'S & WOMAN'S PHYSICIAN
20 YORK STREET, CB-2041
50 STANIFORD ST
1999 MARCUS AVENUE
98 ELM STREET
CHILDREN'S & WOMENS PHYSICIAN
CHILDREN'S & WOMAN'S PHYSICI
WINCHESTER CHEST CLINIC
1 ROYCE CIRCLE
MACDOUGALL WALKER CORRECTIONAL
201 OLD WATERBURY ROAD
30 SHELBURNE RD
136 SHERMAN AVE
20 YORK STREET, CB-2041
CHILDREN''S & WOMENS PHYSICIAN
1250 SUMMER ST
34 PARK ST
22 UPPER MAIN STREET
339 HEMINGWAY AVENUE
300 LONGWOOD AVENUE
200 SANDY HOLLOW ROAD
419 WHALLEY AVE.
61 SOUTH MAIN STREET
300 LONGWOOD AVENUE
CHILDREN'S & WOMAN'S PHYSICIAN
450 BROOKLINE AVENUE
593 EDDY STREET
CHILDREN'S & WOMAN'S PHYSICI
64 ROBBINS STREET
CHILDREN'S & WOMAN'S PHYSICI
1625 STRAITS TURNPIKE
300 LONGWOOD AVE
50 NUNNAWUAK ROAD
780 MAIN ST., STE.1
STS 1461 SOUTH BRITAIN ROAD
CHILDREN''S & WOMENS PHYSICIAN
1000 SILVER STREET
1275 YORK AVE
DANA-FARBER CANCER INSTITUTE
BOSTON
EAST HARTFORD
BOSTON
WESTPORT
MIDDLETOWN
WEST HARTFORD
NEW HAVEN
GREENWICH
NEW HAVEN
TROY
HAWTHORNE
BRIDGEPORT
PROVIDENCE
MAHOPAC
NEW HAVEN
BOSTON
LAKE SUCCESS
WEST HAVEN
HAWTHORNE
HAWTHORNE
NEW HAVEN
STORRS
SUFFIELD
SOUTHBURY
STAMFORD
NEW HAVEN
NEW HAVEN
POUGHKEEPSIE
STAMFORD
NEW HAVEN
SHARON
EAST HAVEN
BOSTON
MYSTIC
NEW HAVEN
WEST HARTFORD
BOSTON
VALHALLA
BOSTON
PROVIDENCE
VALHALLA
WATERBURY
SLEEPY HOLLOW
MIDDLEBURY
BOSTON
NEWTOWN
GREAT BARRINGTON
SOUTHBURY
SLEEPY HOLLOW
MIDDLETOWN
NEW YORK
MA
CT
MA
CT
CT
CT
CT
CT
CT
NY
NY
CT
RI
NY
CT
MA
NY
CT
NY
NY
CT
CT
CT
CT
CT
CT
CT
NY
CT
CT
CT
CT
MA
CT
CT
CT
MA
NY
MA
RI
NY
CT
NY
CT
MA
CT
MA
CT
NY
CT
NY
617-632-5917
860-918-0069
617-632-5917
203-319-3939
860-262-5868
860-561-4300
203-688-1734
203-622-9160
203-688-1734
518-271-3450
914-922-2241
203-334-2000
401-444-8531
914-922-2241
203-688-1734
617-726-2914
914-962-8290
203-933-6974
914-493-7997
914-922-2241
203-785-4198
860-487-9200
860-627-2100
203-646-6503
203-276-7058
203-624-9991
203-688-1734
914-594-3916
203-853-9900
203-974-7300
860-364-0424
203-468-9775
617-355-8537
860-536-4916
203-777-5385
860-521-1264
617-355-8537
914-922-2241
617-632-5917
401-854-2504
914-922-2241
203-573-6056
914-922-2241
203-598-7246
617-355-8537
203-270-2800
413-528-2418
203-586-2390
914-366-3400
860-262-5000
646-227-3813
HUSKY Health Connecticut / Charter Oak Health Plan
DANA-FARBER CANCER INSTITUTE
BOX 351 - 1000 SILVER STREET
SUITE 201
SUITE 102
19 BRADHURTS AVE. STE 206
SUITE 205
906 ROUTE 6
2ND FLOOR S50-200
SUITE M-18
19 BRADHURST AVE., SUITE 1400
19 BRADHURST AVE. STE 1400
789 HOWARD AVE
SUITE 104
1153 EAST STREET SOUTH
2ND FLOOR STE 201
SUITE 202
45 READE PLACE
SUITE 202
100 WOODS RD
DANA-FARBER CANCER INSTITUTE
100 WOODS RD
755 N BROADWAY STE. 540
SUIT 205
GARNER CORRECTIONAL INSTITUTE
755 NORTH BROADWAY
Page 37 of 54
02215-5418
06118-3239
02215-5418
06880-5602
06545-7023
06107-2139
06510-3220
06831-5351
06510-3220
12180-2466
10532-2140
06606-5369
02903-4923
10541-1704
06510-3220
02114-2517
11042-3406
06516-3879
10532-2144
10532-2140
06519-1304
06268-1000
06080-0002
06488-3848
06904-9317
06511-5210
06510-3220
12601-3947
06902-5358
06519-1109
06069-2098
06512-2318
02115-5724
06355-1720
06511-3019
06107-2403
02115-5724
10595-1530
02215-5418
02903-4923
10595-1530
06708-2613
10591-1077
06762-1836
02115-5724
06470-5500
01230-2180
06488-0901
10591-1076
06457-7203
10065-6007
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1316994049
1306925284
1548262660
1700889094
1336355114
1386681070
1508841065
1437597614
1346575768
1356670061
1245340348
1053641654
1992942205
1912932385
1912923111
1841531332
1811088685
1982665725
1174776827
1992052161
1730195751
1922149608
1821378605
1225181274
1861659849
1699843888
1679865398
1649209982
1134354244
1548378813
1598951741
1619918752
1508959099
1528001419
1477580843
1922311240
1760617880
1790874683
1962647743
1932416740
1972615425
1457464372
1649340811
1700186228
1306876255
1003106360
1730171307
1730313180
1134375215
1043261266
1043212350
PATNAUDE
PATRASCU
PATRICK
PATRIGNELLI
PATTERSON
PATTI
PATY
PAUDEL
PAUL
PAUL
PAYETTE
PAZIENZA
PEABODY
PEARL
PELLINO
PENDERGAST
PENNELLI
PENNOYER
PERALTA-REICH
PERERA
PERERA
PEREZ
PERFETTI
PERGIOVANNI
PERKINS
PERRETZ
PERRY
PERRY
PERRY
PESCE
PESHORI
PETERSON
PETERSON
PETRELLA
PETRONE
PETRUZZO
PETTIT
PEYSER
PEZZINO
PHADKE
PHAM
PHAM
PHILLIPS
PHILLIPS
PHILLIPS
PIASECKA
PIAZZA
PIERCE
PILEWSKIE
PIMENTEL
PINTO
THOMAS
MARIA
GEORGE
ROBERT
BRUCE
MARY
PHILIP
UMESH
ANU
LISA
CHRISTOPHER
DANIELLE
SHERI
ADAM
PATRICIA
JANEEN
KAREN
JENNIFER
DINABEL
BHOOSHAN
TARIQUE
MICHELLE
JOYCE
EDWARD
JULIA
PERRY
CINDY
JOANNE
JOSEPH
JOSEPH
SANGEETA
DAVID
PETER
MICHAEL
WILLIAM
MARIA
CATHERINE
MARC
PAUL
MADHURA
KIMTHU
LAURA
JAMES
KATHRYN
STEVEN
JUSTYNA
STEPHEN
VIRGINIA
MELISSA
MARTHA
FRANK
416 BELMONT STREET
WCMHN TORRINGTON
550 GOSHEN ROAD
17 CHURCH HILL ROAD
177 BOSTON POST ROAD
1 JOSLIN PLACE
1275 YORK AVE
CHILDREN''S & WOMENS PHYSICIAN
20 YORK STREET
CHILDREN'S & WOMAN'S PHYSICIAN
263 POMFRET ST
20 YORK STREET, CB-2041
400 CAPITAL BLVD
15 CORPORATE DRIVE
62 CARTER ROAD
800 CROSS RIVER ROAD
2 MEDICAL CENTER DRIVE
701 COTTAGE GROVE RD.
CHILDREN''S & WOMAN''S PHYSICI
24 HOSPITAL AVE
84 HOSPITAL AVENUE
435 LEWIS AVE
435 LEWIS AVENUE
825 F CROMWELL AVENUE
300 LONGWOOD AVENUE
112 PORTLAND AVE
30 BUXTON FARM ROAD
THE NEW ENGLAND CENTER FOR CHI
11 POST OFFICE SQ
4699 MAINST SUITE 212
915 RIVER ROAD
115 W. SILVER STREET
291 FARMINGTON AVE
CHILDREN'S & WOMAN'S PHYSICI
29 LEWIS AVENUE
800 CROSS RIVER ROAD
164 SUMMIT AVENUE
778 LONG RIDGE ROAD
360 MAIN STREET
YALE UNIV SOM, 333 CEDAR ST
950 CAMPBELL AVENUE
20 YORK STREET,CB-2041
34 PARK STREET
400 CAPITAL BLVD
944 DANBURY ROAD
YALE CHILD STUDY CENTER
CHILDREN'S & WOMAN'S PHYSICIAN
308 CALLAHAN RD
1275 YORK AVE
CHILDREN'S & WOMAN'S PHYSICIAN
761 MAIN AVE
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
249 WINSTED RD
P0 BOX 161
BOX 254
100 WOODS RAOD
TOMPKINS,209
19 BRADHURST AVE. STE 1400
3RD FLOOR
BAYSTATE NEUROSURGERY
E110
100 WOODS RD
33 TURNPIKE RD
255 LAFAYETTE AVE
SUITE 102
SUITE 3
LMP 4093; BOX 208064
3RD FLOOR
730 SOUTH FRONTAGE ROAD
16 GUION PL
906 ROUTE 6
SUITE 201
Page 38 of 54
City
State Zip Code
Phone Number
WORCESTER
TORRINGTON
LITCHFIELD
TRUMBULL
WATERFORD
BOSTON
NEW YORK
VALHALLA
NEW HAVEN
HAWTHORNE
PUTNAM
NEW HAVEN
ROCKY HILL
TRUMBULL
KENT
KATONAH
SPRINGFIELD
BLOOMFIELD
VALHALLA
DANBURY
DANBURY
MERIDEN
MERIDEN
ROCKY HILL
BOSTON
REDDING
STAMFORD
SOUTHBOROUGH
CLINTON
BRIDGEPORT
MIDDLETOWN
WESTFIELD
FARMINGTON
SUFFERN
GREAT BARRINGTON
KATONAH
PROVIDENCE
STAMFORD
HARTFORD
NEW HAVEN
WEST HAVEN
NEW HAVEN
NEW HAVEN
ROCKY HILL
WILTON
NEW HAVEN
NEW ROCHELLE
NORTH KINGSTOWN
NEW YORK
MAHOPAC
NORWALK
MA
CT
CT
CT
CT
MA
NY
NY
CT
NY
CT
CT
CT
CT
CT
NY
MA
CT
NY
CT
CT
CT
CT
CT
MA
CT
CT
MA
CT
CT
CT
MA
CT
NY
MA
NY
RI
CT
CT
CT
CT
CT
CT
CT
CT
CT
NY
RI
NY
NY
CT
508-756-6609
203-805-6414
860-567-8350
203-261-0800
860-447-2235
617-309-2633
646-227-3813
914-922-2241
203-688-9503
914-922-2241
860-928-3667
203-688-1734
860-221-0797
203-452-7081
860-927-3772
914-763-8151
413-794-4440
860-882-6168
914-922-2241
203-739-8155
203-792-0400
330-493-4443
203-694-8630
860-721-9002
617-919-7309
203-544-9090
202-322-7070
508-481-1015
800-480-4240
203-372-8949
860-704-4000
800-355-0808
860-677-8747
914-922-2241
413-447-2752
914-763-8151
401-854-2504
203-329-7122
860-681-8169
203-785-4649
201-932-5711
203-688-1734
203-974-7016
860-221-0797
203-544-0005
203-737-7129
914-922-2241
401-567-0800
646-227-3813
914-922-2241
860-282-4133
01604-1086
06790-2958
06759-0161
06611-3116
06385-2803
02215-5306
10065-6007
10595-1530
06510-3202
10532-2140
06260-1835
06510-3220
06067-3576
06611-1351
06757-0607
10536-0800
01199-1619
06002-3080
10595-1530
06810-6099
06810-6047
06451-2101
06451-2101
06067-3013
02115-5724
06896-3119
06905-1224
01772-2108
06413-2025
06606-1830
06457-2797
01086-3628
06032-1925
10901-4812
01230-1713
10536-0800
02906-2894
06902-1251
06106-1880
06520-3206
06516-2770
06510-3220
06519-1109
06067-3576
06897-4909
06519-1124
10801-5502
02852-9999
10065-6007
10541-1704
06851-0001
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
Service Address Line 2
City
State Zip Code
Phone Number
1649464074
1467476010
1205814233
1982706032
1235318478
1407898240
1699105981
1013179878
1225345739
1346565520
1982604138
1508865288
1831231323
1952394413
1801817705
1114192242
1700045895
1013294826
1457579914
1366478315
1598887218
1427149798
1194135335
1013000918
1962459974
1144224536
1558378257
1598820052
1760497564
1508995044
1679590038
1447370986
1285877894
1093789745
1124252507
1497007629
1104891407
1477619153
1215931688
1952595902
1265446538
1124034228
1548418080
1215936992
1679575112
1841525482
1275571713
1376539213
1902835176
1942412655
1275567851
PINTO
PIPHER
PISSERI
PITEGOFF
PITTENGER
PLEET
PLESCIA
PLITAS
PLONSKY-SHEEDY
PLOTKIN
PLOTKIN
POLIFRONI
POLIMENI
POLOWCZYK
POMERANIEC
PONCE
POOLEY
POPIUK
PORRAS
POSSICK
POTENZA
POTLER
POTTINGER
POURESMAIL
POWELL
POWERS
POWERS
PRAEL
PRALEA
PRASHAD
PRATINIDHI
PREOTLE
PRESLEY
PREYSNER
PRIBIS
PRICE
PRICE
PRIEST
PRIESTON
PRITZ
PROANO
PROSSEDA
PROTO
PROTOMASTRO
PRUZAN
PRYOR
PUGLIA
PUGLISI
PUNJANI
PURVIS
PUSIC
MATTHEW
DENNIS
TERRI
JOHN
CHRISTOPHER
DAVID
CHRISTOPHER
GEORGE
JENNIFER
EILEEN
MATTHEW
NICHOLAS
ANGEL
BARBARA
LAZARO
DORIS
RICHARD
NATALIA
GISELA
STANLEY
MARC
ANDREW
BARBARA
MEHRAN
JEFFREY
COLLEEN
ROBIN
FRANCIS
ANCA
PRIYA
MADHURI
JANE
CAROLYN
LINDA
MARIA
COURTNEY
RICHARD
BRIAN
GREGORY
MELINDA
LAWRENCE
ERIC
KRISTIANE
PAUL
DEBRA
SARAH
JOAN
JEFFREY
SHAHNAZ
WARREN
ANDREA
CHILDREN'S & WOMAN'S PHYSICIAN
120 EAST AVE
1073 NORTH BENSON ROAD
1225 SILVER STREET
34 PARK STREET
2150 MAIN STREET
1841 GALE STREET
1275 YORK AVE
400 CAPITAL BLVD
20 YORK STREET, CB-2041
CHILDREN''S & WOMAN''S PHYSICI
40 CROSS STREET
220 WESTCHESTER AVE
800 CROSS RIVER ROAD
ONE POST ROAD
1275 YORK AVE
32 COOPER HILL ROAD
25 OAKLAND ROAD
593 EDDY STREET
303 WHITNEY AVENUE
205 ORANGE STREET
780 MAIN ST., STE.1
NATCHAUG HOSPITAL
19 CENTER VIEW ROAD
90 S BEDFORD ROAD
426F SCRABBLETOWN RD.
701 ENFIELD STREET
800 CROSS RIVER ROAD
CONNECTICUT VALLEY HOSPITAL
CHILDREN'S & WOMAN'S PHYSICI
351 MERLINE ROAD SUITE 101
593 EDDY STREET
333 CEDAR ST.
40 DALE ROAD SUITE 202
1351 WASHINGTON BLVD
20 YORK STREET, CB-2041
441 ROUTE 306 ST 3
20 YORK STREET, CB-2041
5 EVERSLEY AVENUE
83 BRADLEY STREET
593 EDDY STREET
1 RIVER STREET
200 ORCHARD ST
40 CROSS STREET
1290 SUMMER STREET
20 YORK STREET, CB-2041
30 BRIDGE STREET
7 RIVERSVILLE ROAD
20 YORK STREET
29 ELBOW STREET
1275 YORK AVE
100 WOODS RD
VALHALLA
NORWALK
FAIRFIELD
MIDDLETOWN
NEW HAVEN
SPRINGFIELD
ENGLEWOOD
NEW YORK
ROCKY HILL
NEW HAVEN
HAWTHORNE
NORWALK
PORT CHESTER
KATONAH
FAIRFIELD
NEW YORK
RIDGEFIELD
SOUTH WINDSOR
PROVIDENCE
NEW HAVEN
NEW HAVEN
GREAT BARRINGTON
MANSFIELD
WOODBRIDGE
MT KISCO
N. KINGSTOWN
ENFIELD
KATONAH
MIDDLETOWN
HAWTHORNE
VERNON
PROVIDENCE
NEW HAVEN
AVON
STAMFORD
NEW HAVEN
MONSEY
NEW HAVEN
NORWALK
NORTH HAVEN
PROVIDENCE
WAKEFIELD
NEW HAVEN
NORWALK
STAMFORD
NEW HAVEN
NEW MILFORD
GREENWICH
NEW HAVEN
PROVIDENCE
NEW YORK
NY
CT
CT
CT
CT
MA
FL
NY
CT
CT
NY
CT
NY
NY
CT
NY
CT
CT
RI
CT
CT
MA
CT
CT
NY
RI
CT
NY
CT
NY
CT
RI
CT
CT
CT
CT
NY
CT
CT
CT
RI
RI
CT
CT
CT
CT
CT
CT
CT
RI
NY
914-922-2241
203-853-0880
203-254-4011
860-638-2620
203-974-7675
860-741-6572
941-474-1223
646-227-3813
860-221-0797
203-688-1734
914-922-2241
203-845-2995
914-939-6696
914-763-8151
203-255-7617
646-227-3813
203-431-3200
860-644-5684
401-444-5440
203-782-1511
203-776-9900
413-528-2418
860-456-1311
203-298-0724
914-242-5621
401-295-7400
860-741-6572
914-763-8151
860-262-5868
914-922-2241
860-871-1613
401-854-2504
475-202-9737
860-678-7897
203-327-5808
203-688-1734
845-893-4538
203-688-1734
203-853-6626
203-234-1340
401-854-2504
401-767-4100
203-776-4444
203-845-2995
203-325-3576
203-688-1734
860-350-1161
203-531-1808
203-785-6484
401-421-8850
646-227-3813
HUSKY Health Connecticut / Charter Oak Health Plan
W315
3RD FLOOR
19 BRADHURST AVE. STE 200N
SUITE 300
STE. 1
189 STORRS RD
BOX 351 - 1000 SILVER STREET
19 BRADHURST AVE. STE 1400
SUITE 101
THUNDERMIST HEALTH CENTER
SUITE 207
SUITE 300
SUITE 3600
SUITE 102
FITKIN CARDIOLOGY
Page 39 of 54
10595-1530
06851-5703
06824-5171
06457-3920
06519-1109
01104-3300
34223-6480
10065-6007
06067-3576
06510-3220
10532-2140
06851-4661
10573-4516
10536-0800
06824-6241
10065-6007
06877-5904
06074-2897
02903-4923
06511-7204
06510-2069
01230-2180
06250-1683
06525-1842
10549-3412
02852-9999
06082-2961
10536-0800
06457-7023
10532-2140
06066-4040
02903-4923
06520-8028
06001-3692
06902-2419
06510-3220
10952-1234
06510-3220
06851-5821
06473-9996
02903-4923
02879-3214
06511-5363
06851-4661
06905-5325
06510-3220
06776-3517
06831-3684
06510-3202
02903-4620
10065-6007
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
Service Address Line 2
City
State Zip Code
Phone Number
1619236502
1598012775
1699744425
1558519678
1609928704
1245281567
1265413561
1265742860
1417045402
1558360636
1083770770
1205917655
1417273475
1508946419
1619028388
1306873468
1053407304
1114196367
1023130101
1528006038
1992962708
1548421936
1427053701
1093904633
1639253420
1720251523
1972641355
1750458949
1376579938
1215960067
1093912669
1740222744
1467636225
1841468709
1053329565
1013989425
1457351645
1336586510
1689995110
1043237688
1316114002
1588648240
1073821187
1619047982
1659474781
1972847580
1184707226
1184032898
1336543107
1659353118
1487979514
PUTT
PY
QUAS
QUATINETZ
QUATROCELLI
QUINN
QUINTANILLA
RADHAKRISHNAN
RAFII
RAFTERY
RAGOVIS
RAKOS
RAMA
RAMER
RAMJI
RANA
RANA
RANGANATHAN
RAO
RAU
RAUB
RAVICHANDRAN
RAVIN
RAZA
RAZON
REAGAN
REBER
RECTOR
REDA
REDLER
REED
REEDER
REEL
REGAN
REGAN
REGAN FORD
REGARD
REID
REID
REID
REIDY
REINHARDT
REISCHERL
REISER
REISMAN
REISS
REMNICK
RENNELL
REVAKALA
REVERE
REYES
JULIE
LAUREN
MICHAEL
LARA
STEPHEN
BRIAN
MEGHAN
RAJIV
FEREIDOON
CHARLES
NICHOLAS
LYNN
ARJUNE
SANDRA
ALNOOR
ALPANA
SUNIL
MOHINI
MAYA
GREGORY
JONATHAN
SHANKARI
ANATOLIY
KASHIF
MATTHEW
KRISTA
MARK
FRANKLIN
EDWARD
MICHAEL
MARANDA
LAURIE
MICHAEL
CHRISTOPHER
THOMAS
SARA
MONIQUE
KEILIHA
KRISTEN
LINDA
PATRICIA
THOMAS
ANDREA
RUTH
ANNA
MOSHE
RICHARD
KRISTIN
LATHA
MADELINE
MAGDALENA
41 PARK ROW
64 ROBBINS ST
455 TOLLGATE ROAD
800 CROSS RIVER ROAD
360 TOLLAND TPKE., SUITE 2A
725 NORTH STREET
20 YORK STREET, CB-2041
300 GEORGE STREET
12 WEST 96TH STREET
1579 STRAITS TURNPIKE
20 YORK STREET, CB-2041
1635 CENTRAL AVENUE
300 GEORGE ST., SUITE 901
1301 20TH STREET STE 390
72 NEW LONDON TURNPIKE
555 WILLARD AVE
49 LAKE AVE, STE 2
34 PARK STREET
622 WEST 168TH STREET
134 PARK STREET
189 STORRS ROAD
622 WEST 168 STREET
85 SEYMOUR STREET
622 WEST 168 STREET
BREWSTER
85 SEYMOUR STREET
WOODS SERVICES
CTR PATRICK F. MCAULIFFE CENTE
150 WHITE PLAINS ROAD
888 WHITE PLAINS RD
41 BREWSTER ROAD
1351 SO COUNTY TRAIL
800 HOWARD AVE
800 HOWARD AVE
263 FARMINGTON AVENUE
593 EDDY STREET
CHILDREN''S & WOMAN''S PHYSICI
1635 CENTRAL AVENUE
20 YORK STREET
500 W. PUTNAM AVE.
300 LONGWOOD AVENUE
64 ROBBINS STREET
986 NORWICH NEW LONDON TNPK
80 SEYMOUR ST
550 WILLARD AVE
CHILDREN'S & WOMENS PHYSICIAN
435 LEWIS AVE
3300 MAIN STREET
20 YORK STREET, CB-2041
64 ROBBINS ST
34 PARK STREET
STE 313
NEW YORK
WATERBURY
WARWICK
KATONAH
MANCHESTER
PITTSFIELD
NEW HAVEN
NEW HAVEN
NEW YORK
MIDDLEBURY
NEW HAVEN
BRIDGEPORT
NEW HAVEN
SANTA MONICA
NORWICH
NEWINGTON
GREENWICH
NEW HAVEN
NEW YORK
NEW HAVEN
MANSFIELD CENTER
NEW YORK
HARTFORD
NEW YORK
BRISTOL
HARTFORD
LANGHORNE
WATERBURY
TARRYTOWN
TRUMBULL
BRISTOL
EAST GREENWICH
NEW HAVEN
NEW HAVEN
FARMINGTON
PROVIDENCE
VALHALLA
BRIDGEPORT
NEW HAVEN
GREENIWICH
BOSTON
WATERBURY
UNCASVILLE
HARTFORD
NEWINGTON
HAWTHORNE
MERIDEN
SPRINGFIELD
NEW HAVEN
WATERBURY
NEW HAVEN
NY
CT
RI
NY
CT
MA
CT
CT
NY
CT
CT
CT
CT
CA
CT
CT
CT
CT
NY
CT
CT
NY
CT
NY
CT
CT
PA
CT
NY
CT
CT
RI
CT
CT
CT
RI
NY
CT
CT
CT
MA
CT
CT
CT
CT
NY
CT
MA
CT
CT
CT
212-346-1600
203-573-6233
401-737-7000
914-763-8151
860-646-4811
413-881-5427
203-688-1734
203-785-2089
212-666-2445
203-758-2003
203-688-1734
203-551-7464
203-785-4207
310-453-3568
860-886-8122
860-666-6951
203-869-7704
203-974-7016
212-305-5020
203-865-6143
860-465-5936
212-305-9819
860-524-5194
212-305-9819
440-627-2625
860-545-4338
267-565-8239
203-346-1931
914-962-8290
203-268-2882
860-585-3024
401-273-0641
203-785-4216
203-785-4216
860-679-4636
401-793-8830
914-922-2241
203-551-7400
203-688-9503
203-622-0303
617-355-8537
203-573-6056
860-848-5773
860-972-4178
860-666-6915
914-493-7997
330-493-4443
413-794-7033
203-688-1734
203-573-6056
203-974-7016
HUSKY Health Connecticut / Charter Oak Health Plan
SUITE 901
SUITE 1B
VA MEDICAL CENTER
PH-4 ROOM 476
PH 14-104
SUITE 922
PH 14- 104
SUITE 525
515 ROUTE 413
70 CENTRAL AVE
SUITE 306
SUITE 200B
YALE UNIVERSITY
JOHN DEMPSEY HOSPITAL
503 GRASSLANDS RD STE 200
TOMPKINS, 209
19 BRADHURST AVE.SUITE 1400
3RD FL, STE C&D
Page 40 of 54
10038-1508
06708-2613
02886-2759
10536-0800
06042-1770
01201-4019
06510-3220
06511-6624
10025-9998
06762-1835
06510-3220
06606-2717
06511-6624
90404-2087
06360-2614
06111-2631
06830-4501
06519-1109
10032-3270
06511-5409
06250-1683
10032-3725
06106-1118
10032-3725
06011-0977
06106-5525
19047-0036
06702-1207
10591-5521
06611-4552
06010-5141
02818-2770
06519-0309
06519-0309
06030-1000
02903-4923
10595-1593
06610-2717
06510-3202
06830-6086
02115-5724
06708-2613
06382-1928
06102-5037
06111-2631
10532-2144
06451-2101
01199-1619
06510-3220
06708-2613
06519-1109
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1508943341
1548343858
1093808727
1770544256
1417081928
1871535500
1225124514
1649408725
1255689808
1043212079
1285838185
1568405454
1295897155
1528082278
1861643827
1043347537
1699731661
1225039233
1720044811
1932198082
1851419014
1578549168
1649403601
1386945772
1194908830
1457345605
1013175371
1477665420
1659542397
1376633248
1720198146
1578794053
1205093929
1013904770
1851512784
1861465973
1467783712
1932113073
1710280136
1518189851
1407853153
1487646063
1235129412
1386732568
1124197033
1679543680
1801015128
1023118999
1932204203
1669423042
1730100546
RICH
RICHARDSON
RICHARDSON
RICHARDSON
RIEBELING
RIECKER
RIEGLER
RIESE
RIFENBURG
RIFFLE
RINNE
RIPPEL
RISKEVICH
RISSOLO
RIST
RIVAS
RIVERA
RIVERA FERRER
RIVERA JR.
RIZACK
RIZEN
RIZK
RIZWAN
RIZZARDI
RIZZARDINI
RO
ROBBINS
ROBBINS
ROBINSON
ROBISON
RODGERS JR
RODRIGUEZ
RODRIGUEZ MEDINA
RODRIGUEZ-CARDENAS
ROGERS
ROGERS
ROGERS
ROHR
ROIG
ROLLOCK DURETTE
ROMANIA
ROMANO
ROMERO
RONAN
ROSA
ROSE
ROSEN
ROSENBERG
ROSENBERG
ROSENBERG
ROSENKRANZ
VIRGINIA
DAVID
ELBERT
PAUL
CURT
WILLIAM
NITAI
JEFFREY
JENNIFER
ANNE
MIKAEL
EDWARD
MICHAEL
ALAN
ELIZABETH
JAIME
JOHN
FRANCISCO
JOHN
TINA
BRIAN
NABIL
IQBAL
CYNTHIA
JOHANNA
HOWARD
HILARY
MICHAEL
DEANNE
KATINA
JOSEPH
MARY ANN
SOL LISSETTE
JAIRO
GAIL
HOWARD
JOSEPH
MICHELE
CINDY
JACQUELINE
ANTHONY
ALICIA
RICHARD
SHARON
STEVEN
ARON
GINNY
ILENE
REMI
ROBERT
BARRY
300 LONGWOOD AVENUE
67 LAFAYETTE ST
234 CHURCH STREET
450 BROOKLINE AVENUE
21 SUGAR STREET
2261 BROADBRIDGE AVENUE
ONE GOLDEN HILL
593 EDDY STREET
450 BROOKLINE AVE DA2112K
CHILDREN''S & WOMAN''S PHYSICI
450 BROOKLINE AVE
1952 WHITNEY AVE
2818 OCEAN AVE.
10 MOTT AVENUE
759 CHESTNUT STREET
220 WESTCHESTER AVE
1753 MERIDEN-WATERBURY RD
84 N. MAIN STREET
1753 MERIDEN-WATERBURY RD
101 DUDLEY STREET
WOODS SERVICES
1275 YORK AVE
CONNECTICUT VALLEY HOSPITAL
3180 MAIN STREET
281 MAPLE STREET
701 ENFIELD STREET
622 WEST 168 STREET
1 LONG WHARF DR
SKINCARE PHYSICIANS
101 DUDLEY STREET
105 SOCKANOSSET CROSS ROAD
FARRELL TREATMENT CENTER
47 LONG LOTS ROAD
81-36 BAXTER AVENUE #2F
975 CORBIN AVE
111 SALEM TURNPIKE
156 MEADOW STREET
159 WEST PUTNAM AVENUE
20 YORK STREET, CB-2041
230 RT 149
914 HARTFORD TPK
CHILDREN'S & WOMAN'S PHYSICI
115 MILL ST
CHILDREN'S & WOMAN'S PHYSICI
715 LAKEWOOD ROAD
40 TEMPLE STREET
50 NUNNAWAUK ROAD
40 COMMERCE PARK
5 HIGH RIDGE PARK
CHILDREN'S & WOMAN'S PHYSICIAN
YALE BEHAVIORAL HEALTH
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
SUITE 301
DANA-FARBER CANCER INSTITUTE
4350 VAN CORTLANDT PARK EAST
SUITE #1
SUITE 4B
S3677
POBOX 770
BLDG 2
POBOX 770
515, ROUTE 413
1000 SILVER STREET
SUITE 105
PH14
STE 212
1244 BOYLSTON STREET, STE 302
SUITE 320
586 MAIN STREET
SUITE 7
CATARACT AND CORNEA EYE SPECIA
755 N BROADWAY STE. 400
337 N. MAIN ST. STE 4
SUITE 5B
SUITE 1
SUITE 103
130 GRAND ST.
55 CHURCH ST.SUITE 403
Page 41 of 54
City
State Zip Code
Phone Number
BOSTON
NORWICH
NEW HAVEN
BOSTON
NEWTOWN
STRATFORD
MILFORD
PROVIDENCE
BOSTON
BRONX
BOSTON
HAMDEN
BROOKLYN
NORWALK
SPRINGFIELD
PORT CHESTER
MILLDALE
BRANFORD
MILLDALE
PROVIDENCE
LANGHORNE
NEW YORK
MIDDLETOWN
BRIDGEPORT
EAST LONGMEADOW
ENFIELD
NEW YORK
NEW HAVEN
CHESTNUT HILL
PROVIDENCE
CRANSTON
NEW BRITAIN,
WESTPORT
ELMHURST
NEW BRITAIN
NORWICH
NAUGATUCK
GREENWICH
NEW HAVEN
MARSTONS MILLS
WATERFORD
SLEEPY HOLLOW
BELMONT
NEW CITY
WATERBURY
NEW HAVEN
NEWTOWN
MILFORD
STAMFORD
CROTON ON HUDSON
NEW HAVEN
MA
CT
CT
MA
CT
CT
CT
RI
MA
NY
MA
CT
NY
CT
MA
NY
CT
CT
CT
RI
PA
NY
CT
CT
MA
CT
NY
CT
MA
RI
RI
CT
CT
NY
CT
CT
CT
CT
CT
MA
CT
NY
MA
NY
CT
CT
CT
CT
CT
NY
CT
617-355-8537
860-889-5213
203-215-7472
617-632-5917
203-426-7122
203-375-4633
203-876-6848
401-444-7396
617-632-3965
914-922-2241
617-632-3965
203-287-7500
718-934-8484
203-853-0500
413-794-5161
914-939-6696
860-621-5554
203-626-0160
860-621-5554
401-273-0641
267-565-8239
646-227-3813
860-262-5400
203-372-7200
413-525-5160
860-741-6572
212-305-9819
203-624-4208
617-848-1610
401-273-0641
401-946-7600
860-225-4641
203-221-8849
718-507-1717
860-356-8224
860-859-2262
203-729-4714
203-869-7080
203-688-1734
508-428-3698
860-443-3250
914-922-2241
617-855-2921
914-922-2241
203-573-0011
203-573-4885
203-270-2838
203-878-3531
203-276-6151
914-922-2241
203-764-7276
02115-5724
06360-3407
06510-1804
02215-5418
06470-2045
06614-3860
06460-4630
02903-4923
02215-5450
10470-1875
02215-5450
06517-1209
11235-3170
06850-3320
01199-1619
10573-4558
06467-0770
06405-3061
06467-0770
02905-2401
19047-0036
10065-6007
06457-7023
06606-4237
01028-2712
06082-2961
10032-3725
06511-5593
02467-9998
02905-2401
02920-0320
06051-0586
06880-0688
11373-1382
06052-1243
06363-6459
06770-4045
06830-5329
06510-3220
02648-1834
06385-4229
10591-1076
02478-9106
10956-4310
06704-5400
06510-2715
06470-5500
06460-3506
06905-1326
10520-2307
06510-3014
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1689688772
1831185719
1407992142
1033387626
1629016407
1275976052
1538272117
1144392358
1750311296
1972570422
1710317029
1952316622
1205865649
1578593497
1770572232
1114297058
1437161148
1457388183
1497717680
1023167707
1598927634
1639260045
1508841388
1588772867
1467402693
1508971318
1750494225
1922311307
1891762837
1720065105
1184708851
1750306049
1477878049
1114973450
1730470279
1003806183
1598861064
1831291715
1821000613
1205086915
1356357933
1730164310
1477642833
1427308105
1801969217
1235209347
1275695298
1366400939
1831120674
1184634909
1306937065
ROSENTHAL
ROSS
ROSS
ROSS
ROSS IV
ROSSIGNOL
ROSTENBERG
ROTH
ROTH
ROTONDO
ROUSSEAU
ROYE
ROYE
RUBEN
RUBEO
RUBINO
RUBINO
RUBINO
RUCHMAN
RUDAVSKY
RUDICH
RUDNICKI
RUSCH
RUSER
RUSHIN
RUSK
RUSSELL
RUSSO
RUSSO
RUSSO
RYAN
RYAN
RYAN
SAADATMAND
SAAM
SAAVEDRA
SAAVEDRA
SABATELLI
SABERSKI
SABOURIN
SABSHIN
SACCHINI
SACKLER
SADANOWICZ
SADOWSKI
SAEED
SAENGER
SAIA
SAIRITUPA
SALCH
SALDAITIS
ALAN
DOUGLAS
JODY
JOSEPH
ALBERT
JOHN
PETER
JESSICA
STEVEN
KATHLEEN
ALESHIA
DAVID
KRISTIN
HARVEY
THOMAS
ALFRED
KARA
LAUREEN
MARK
ELANA
DANIELLE
JANUSZ
VALERIE
CHRISTOPHER
RANDALL
ALICE
ROSEMARY
ANDREA
MICHAEL
PAUL
GAIL
ROBERT
SYLVESTER
BABAK
GREGORY
ARTURO
LUISA
RAYMOND
LLOYD
CHRISTIANE
JAMES
VIRGILIO
LORNA
ALEXANDRA
ALICE
AYSHA
PAUL
THERESA
ZAHID
JENNIFER
DANA
120 EAST AVE.
15 PARKMAN ST
CHILDREN'S & WOMAN'S PHYSICI
20 MILLTOWN RD
593 EDDY STREET
36 EAST MAIN STREET
71 ROUTE 39
PERKINS SCHOOL FOR THE BLIND
1 RIVER STREET
1 HOPPIN STREET
1952 WHITNEY AVENUE
1351 WASHINGTON BLVD
CHILDREN'S & WOMAN'S PHYSICIAN
77 KNOLLWOOD DRIVE
CHILDREN'S & WOMAN'S PHYSICIAN
400 CAPITAL BLVD
400 CAPITAL BLVD
945 MAIN STREET
1 RESERVOIR OFFICE PARK #203
37 FRUIT STREET
1201 W. MAIN ST
660 STONELEIGH AVENUE
1275 YORK AVE
11-ACSL 950 CAMPBELL AVENUE
20-30 BEAVER ROAD SUITE 102
25 VALLEY DRIVE
2443 ROUTE6
800 HOWARD ST
400 WEST MAIN STREET
1275 YORK AVE
105 MILLBURY ST
BREWSTER
639 BREAKNECK HILL ROAD
64 ROBBINS STREET
650 CHASE PARKWAY
50 STANIFORD ST
216 WESTCHESTER AVE,SUITE12
29 LEWIS AVE
1 LONG WHARF DR
20 YORK STREET, CB-2041
12 VILLAGE STREET
1275 YORK AVE
CHILDREN'S & WOMAN'S PHYSICI
163 BROADWAY STREET
CAPITOL REGION MENTAL HEALTH C
555 WILLARD AVENUE
120 MINEOLA BOULEVARD
300 LONGWOOD AVENUE
152 WEST ST
736 BATTLEFIELD BLVD NORTH
950 CAMPBELL AVENUE
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
WANG 730S
222 WESTCHESTER AVE. STE 202
SUITE 201
HASBRO LL
175 N. BEACON ST
THUNDERMIST HEALTH CENTER
CORO WEST
QUINNIPIAC INTERNAL MEDICINE
755 N BROADWAY STE. 500
1 PONDFIELD RD STE. 302
3RD FLOOR
3RD FLOOR
SUITE 105
1449 OLD WATERBURY RD
SUITE 100
2ND FLOOR
STE 212
SUITE 3
4C MEDICAL PARK DRIVE
500 VINE STREET
SUITE 210
11ACSL
Page 42 of 54
City
State Zip Code
Phone Number
NORWALK
BOSTON
WHITE PLAINS
BREWSTER
PROVIDENCE
AVON
NEW FAIRFIELD
WATERTOWN
WAKEFIELD
PROVIDENCE
HAMDEN
STAMFORD
SLEEPY HOLLOW
NEW HAVEN
BRONXVILLE
ROCKY HILL
ROCKY HILL
MANCHESTER
SOUTHBURY
WORCESTER
WATERBURY
CARMEL
NEW YORK
WEST HAVEN
WETHERSFIELD
GREENWICH
BREWSTER
NEW HAVEN
BRANFORD
NEW YORK
AUBURN
BRISTOL
MIDDLEBURY
WATERBURY
WATERBURY
BOSTON
PORT CHESTER
GREAT BARRINGTON
NEW HAVEN
NEW HAVEN
NORTH HAVEN
NEW YORK
POMONA
COLCHESTER
HARTFORD
NEWINGTON
MINEOLA
BOSTON
DANBURY
CHESAPEAKE
WEST HAVEN
CT
MA
NY
NY
RI
CT
CT
MA
RI
RI
CT
CT
NY
CT
NY
CT
CT
CT
CT
MA
CT
NY
NY
CT
CT
CT
NY
CT
CT
NY
MA
CT
CT
CT
CT
MA
NY
MA
CT
CT
CT
NY
NY
CT
CT
CT
NY
MA
CT
VA
CT
203-853-0880
617-726-3872
914-922-2241
845-279-6179
401-444-1767
860-674-0333
203-746-3300
617-972-7273
401-767-4100
401-793-8830
203-287-7500
203-276-2000
914-922-2241
203-397-0064
914-922-2241
860-221-0797
860-221-0797
860-645-1232
203-264-4000
508-797-1767
203-573-4858
914-242-5621
646-227-3813
866-808-7921
860-721-7428
203-869-6446
845-363-1644
203-785-3616
203-483-7778
646-227-3813
508-832-9691
440-627-2625
203-758-9564
215-442-5046
203-597-8878
617-726-2914
914-690-0333
413-447-2752
203-624-4208
203-688-1734
203-877-0112
646-227-3813
914-922-2241
860-537-2020
860-297-0999
860-666-6951
516-663-4938
617-355-8537
203-791-5168
757-312-6404
203-932-5711
06851-5703
02114-3117
10604-2906
10509-4344
02903-4923
06001-3801
06812-4017
02472-2751
02879-3214
02903-4923
06517-1209
06902-9317
10591-1075
06515-9998
10708-3706
06067-3576
06067-3576
06040-6064
06488-3853
01609-2184
06708-4926
10512-2466
10065-6007
06516-2700
06109-2242
06831-5203
10509-2443
06519-1713
06405-3416
10065-6007
01501-3205
06011-0977
06762-1410
06708-2613
06708-3046
02114-2517
10573-4541
01230-1713
06511-5593
06510-3220
06473-9997
10065-6007
10970-3516
06415-1022
06112-1639
06111-2631
11501-4077
02115-5724
06810-6361
23320-4941
06516-2770
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1255460945
1821173311
1710067699
1972843498
1720177165
1215944426
1669593208
1992779151
1467730416
1356308464
1801104872
1528495215
1609920628
1801827662
1508843988
1821376609
1568425171
1407833106
1811218076
1821072471
1982760005
1124296702
1003809385
1174684179
1649602491
1154450526
1275593550
1902932031
1194985168
1972828986
1033498167
1285647545
1861523466
1760466536
1770611717
1790710689
1366482846
1811082472
1801958640
1407849912
1962495606
1821411901
1427035856
1194710269
1871649426
1841458759
1760681639
1518908052
1841217486
1801983978
1609853118
SALEM
SALVA OTERO
SALVATO
SALVATO
SAMBOR
SAMPOGNA
SAMUELS
SANACORA
SANAMANDRA
SANCHEZ
SANCHEZ
SANCHEZ
SANDAK
SANDERSON
SANDHU
SANDILYA
SANDLER
SANDOVAL
SANFORD
SANTACROCE
SANTACROCE
SANTANA
SANTAROSA
SANTIAGO
SANTIBANEZ
SANTORELLA
SANTOS
SAPHIRE
SARKAR
SARKAR
SARSWAT
SASLOWSKY
SASSE
SATCHELL
SATINOVER
SAVARESE
SAVIN
SAVINO
SAVITHRI
SAVITZ
SAVULAK
SCALLEY
SCARDINO
SCARLES
SCARPELLI
SCHAMBERG
SCHANER
SCHANZ
SCHECHTER
SCHERR
SCHIFF
ROBERT
ROBERTO
ANTHONY
TATIANA
RALPH
ROSEMARY
MARK
GERARD
SIRISHA
ANTONIO
CRISTINA
LAUREN
DAVID
SCOTT
JASPREET
SANDIPANI
JEFFREY
SYBIL
MICHELLE
JAMES
MICHAEL
SHEYLA
RICHARD
YVONNE
KARINA
JOHN
JOSE
LYNN
SOUVIK
SUDIPA
NITASHA
TRACEE
ROBERT
JACQUELINE
JEFFREY
EDWARD
RONALD
DOUGLAS
KAMAKSH
DONALD
SUSAN
MEAGHEN
PETER
JAMES
PETER
NEAL
MARK
MARYBETH
MICHAEL
JENNIFER
EVAN
75 VAN DEENE AVE
57 MULBERRY STREET
488 HOWE AVENUE
152 WEST STREET
359 FARMINGTON AVE.
622 WEST 168TH STREET
LIGHTHOUSE DENTAL CARE
34 PARK ST.
15 YORK STREET
NATCHAUG HOSPITAL
65 KANE ST
24 BATTLE ST, STE 1A
47 OAK ST. #240
67 SAND PIT ROAD
1275 YORK AVE
20 YORK STREET, CB-2041
4699 MAIN STREET
44 DALE ROAD
56 FRANKLIN ST
64 ROBBINS STREET
44 FAIR ST
20 YORK STREET, CB-2041
30 SHELBURNE RD
CHILDREN'S & WOMENS PHYSICIAN
800 CROSS RIVER ROAD
20 NORTH MAIN STREET
1031 FARMINGTON AVENUE
400 CAPITAL BLVD
333 CEDAR ST 1080 LMP
20 YORK STREET, CB-2041
55 FRUIT ST
300 LONGWOOD AVE
4600 MAIN STREET
950 CAMPBELL AVENUE
84 HOSPITAL AVENUE
90 S BEDFORD ROAD
134 PARK STREET
CHILDREN''S & WOMAN''S PHYSICI
1000 SILVER STREET
30 SHELBURNE RD
74 EAST STREET
20 YORK STREET
1275 YORK AVE
200 SANDY HOLLOW RD
101 NORTH MAIN ST
500 WEST PUTNAM AVE
435 LEWIS AVENUE
605 WEST AVE
500 W, PUTNAM AVE.
CHILDREN''S & WOMAN''S PHYSICI
36 EAST MAIN STREET
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
CCBH
PH-4 ROOM 476
88 RYDERS LANE
LCI 910, NEUROLOGY RESIDENCY
189 STORRS RD
SUITE 208
SUITE 106
400 MIDWAY PARK DRIVE
3RD FLOOR
DIGESTIVE DISEASES, YALE UNIV
GRB 8-800
VA MEDICAL CENTER, PRIMARY CAR
1 PONDFIELD RD WEST STE 7
SUITE 304
SUITE 100
19 BRADHURST AVE. STE 2400
Page 43 of 54
City
State Zip Code
Phone Number
WEST SPRINGFIELD
SPRINGFIELD
SHELTON
DANBURY
PLAINVILLE
NEW YORK
STRATFORD
NEW HAVEN
NEW HAVEN
MANSFIELD CENTER
WEST HARTFORD
SOMERS
STAMFORD
DANBURY
NEW YORK
NEW HAVEN
BRIDGEPORT
AVON
WATERBURY
WATERBURY
WALLINGFORD
NEW HAVEN
STAMFORD
MIDDLETOWN
KATONAH
NORWALK
FARMINGTON
ROCKY HILL
NEW HAVEN
NEW HAVEN
BOSTON
BOSTON
BRIDGEPORT
WEST HAVEN
DANBURY
MT KISCO
NEW HAVEN
BRONXVILLE
MIDDLETOWN
STAMFORD
PLAINVILLE
NEW HAVEN
NEW YORK
MYSTIC
WINSTED
GREENWICH
MERIDEN
NORWALK
GREENWICH
HAWTHORNE
AVON
MA
MA
CT
CT
CT
NY
CT
CT
CT
CT
CT
CT
CT
CT
NY
CT
CT
CT
CT
CT
CT
CT
CT
NY
NY
CT
CT
CT
CT
CT
MA
MA
CT
CT
CT
NY
CT
NY
CT
CT
CT
CT
NY
CT
CT
CT
CT
CT
CT
NY
CT
413-739-7125
413-391-3839
203-924-8069
203-791-5155
860-747-5761
212-305-5020
203-378-1566
203-974-7016
203-785-6054
860-456-1311
860-523-3745
860-749-8887
203-252-2252
203-853-0003
646-227-3813
203-688-1734
203-374-8182
860-674-8830
203-709-6160
215-442-5046
203-269-4730
203-688-1734
203-276-7058
845-343-0728
914-763-8151
203-866-6658
860-677-2550
615-224-5438
203-785-7012
203-688-1734
617-726-8862
617-355-8537
203-576-6249
203-932-5711
203-792-0400
914-242-5621
203-865-6143
914-922-2241
860-262-5000
203-276-7058
860-410-1877
860-930-4263
646-227-3813
860-572-0402
860-379-6807
203-863-2908
203-284-1340
203-853-9900
203-622-0303
914-922-2241
860-674-0333
01089-3258
01105-1495
06484-3114
06810-6361
06062-1343
10032-3270
06614-1666
06519-1109
06520-8018
06250-1683
06119-2110
06071-4059
06905-5345
06810-4032
10065-6007
06510-3220
06606-1830
06001-4320
06706-1253
06708-2613
06492-4214
06510-3220
06904-9317
10940-2656
10532-0800
06854-2656
06032-1411
06067-3576
06510-3206
06510-3220
02114-2696
02115-5724
06606-9966
06516-2700
06810-6047
10549-3412
06511-5409
10708-2694
06457-7023
06904-9317
06062-2367
06510-3202
10067-6007
06355-1744
06098-1738
06830-6086
06451-2101
06850-4000
06830-6086
10532-2144
06001-3801
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
Service Address Line 2
City
State Zip Code
Phone Number
1609834829
1689663262
1528039013
1326001215
1497809784
1154748879
1235216037
1730221011
1740378546
1518100197
1497843197
1598772766
1528065984
1851733026
1528295680
1912091760
1801859293
1902881584
1114271517
1891844080
1427142918
1942345889
1497068084
1073619391
1316939150
1447416086
1629079694
1508912759
1225171697
1326123456
1750541876
1134412885
1780747840
1417948316
1225134059
1578536025
1629374863
1144293317
1174613954
1184811580
1639276827
1780664987
1043239163
1063507416
1730121997
1487636502
1154359297
1366497679
1154320232
1134278500
1699777227
SCHIFFER
SCHIFFER
SCHIZ
SCHLOSSMAN
SCHLUSSEL
SCHMIDT
SCHMIDT
SCHMITT
SCHNEIDER
SCHNEIDER
SCHNEIDER
SCHRAGER
SCHREIBER
SCHULTZ
SCHWARM
SCHWARTZ
SCHWARTZ
SCLAFANI
SCOTT
SCOTTO
SCULLY
SEABRA VEIGA
SEBASTIAN
SEDIVA
SEE
SEIGEL
SELIGMAN
SELKIN
SELVAGE
SELWYN
SEMENOVSKI
SENGUTTUVAN
SEPLOWITZ
SEQUIST
SERNYAK
SETHI
SEVCIK
SHABY
SHAFRAN
SHAH
SHAH
SHAH
SHAH
SHAH
SHAH
SHAHA
SHAHID
SHALON
SHAMES MD
SHANDER
SHAPIRO
KENNETH
TODD
STEVEN
ROBERT
RICHARD
JAMES
KRISTIE
GREGORY
KAREN
LAUREN
MARCIE
ALAN
JONATHAN
JEANETTE
TED
AMY
MARK
LISA
ANGELA
JAMISON
JASON
LISA
DALE
IVONA
MARY CELAINE
JAY
KAREN
ALAN
JOAN
PETER
MICHAEL
RAJA
BRUCE
LECIA
MICHAEL
PAUL
RENNE
STEVEN
GAIL
AMISHI
ARVIND
JATIN
LORI
NIDHI
SHETAL
ASHOK
S. JAVED
LINDA
BRUCE
ELLYN
LAWRENCE
CHILDREN'S & WOMENS PHYSICIAN
CHILDREN''S & WOMAN''S PHYSICI
CHILDREN'S & WOMAN'S PHYSICI
450 BROOKLINE AVE
1999 MARCUS AVENUE
130 DIVISION ST
37 CENTURY BLVD
2068 BRIDGEPORT AVE.
185 ROUTE 312
1351 WASHINGTON BLVD
GREENWICH ADOLESCENT MEDICINE
1600 HARRISON AVENUE
1 BARNARD LANE
500 CHASE PARKWAY
1000 4TH STREET SW
950 CAMPBELL AVE
501 MAIN STREET
1275 YORK AVE
20 YORK STREET, CB-2041
1080 DAY HILL ROAD
69 SHERMAN STREET
1389 WEST MAIN STREET
34 PARK ST
593 EDDY STREET
CHILDREN'S & WOMAN'S PHYSICI
24 CHANNING ST
CHILDREN'S & WOMAN'S PHYSICI
500 WEST PUTNAM AVE
WCMHN TORRINGTON
40 ALBERT STREET
405 HIGHLAND AVENUE, STE-4
CHILDREN''S & WOMAN''S PHYSICI
60 ALGER RD
55 FRUIT ST
34 PARK STREET
6 GREENWICH OFFICE PARK
CHILDREN'S & WOMENS PHYSICIAN
1425 BEDFORD STREET
CHILDREN'S & WOMENS PHYSICIAN
CHILDREN''S & WOMAN''S PHYSICI
417 HIGHLAND AVE.
1275 YORK AVE
622 WEST 168 STREET
20 YORK STREET, CB-2041
CHILDREN'S & WOMAN'S PHYSICI
1275 YORK AVE
67 SAND PIT ROAD
593 EDDY STREET
761 MAIN AVE
1933 LONG RIDGE ROAD
CHILDREN'S & WOMAN'S PHYSICI
1075 CENTRAL PARK AVENUE
1075 CENTRAL AVENUE STE 102
42 SHERWOOD PL
DANA-FARBER CANCER INSTITUTE
SUITE M-18
SCARSDALE
SCARSDALE
GREENWICH
BOSTON
LAKE SUCCESS
DERBY
MILLERTON
MILFORD
BREWSTER
STAMFORD
GREENWICH
MAMARONECK
BLOOMFIELD
WATERBURY
MASON CITY
WEST HAVEN
MONROE
NEW YORK
NEW HAVEN
WINDSOR
FAIRFIELD
WATERBURY
NEW HAVEN
PROVIDENCE
VALHALLA
NEW LONDON
HAWTHORNE
GREENWICH
TORRINGTON
NEW HAVEN
WATERBURY
MIDDLETOWN
EAST HADDAM
BOSTON
NEW HAVEN
GREENWICH
SLEEPY HOLLOW
STAMFORD
WHITE PLAINS
VALHALLA
WATERBURY
NEW YORK
NEW YORK
NEW HAVEN
VALHALLA
NEW YORK
DANBURY
PROVIDENCE
NORWALK
STAMFORD
VALHALLA
NY
NY
CT
MA
NY
CT
NY
CT
NY
CT
CT
NY
CT
CT
IA
CT
CT
NY
CT
CT
CT
CT
CT
RI
NY
CT
NV
CT
CT
CT
CT
NY
CT
MA
CT
CT
NY
CT
NY
NY
CT
NY
NY
CT
NY
NY
CT
RI
CT
CT
NY
914-472-4300
914-922-2241
914-922-2241
617-632-5917
914-962-8290
616-464-0027
845-231-5600
203-874-3003
914-242-5621
203-327-5808
203-532-1919
914-698-8106
860-243-1889
203-755-6677
800-645-3055
866-808-7921
203-268-0377
646-227-3813
203-688-1734
860-683-0243
203-255-1545
203-597-9388
203-974-7016
401-444-4201
914-922-2241
203-303-7387
914-922-2241
203-863-2908
203-805-6414
203-640-0341
860-294-4362
914-922-2241
860-873-1777
617-724-4000
203-974-7016
203-869-1145
914-366-0015
203-357-0204
914-761-1717
914-922-2241
203-755-9300
646-227-3813
212-305-6589
203-688-1734
914-922-2241
646-227-3813
203-853-0003
401-444-7167
860-282-4133
203-561-0414
914-922-2241
HUSKY Health Connecticut / Charter Oak Health Plan
SUITE 101
239 GLENVILLE ROAD
G102
SUITE 102
11ACSL
SUITE 106
SUITE 202
755 N BROADWAY STE. 400
19 BRADHURST AVE. STE 1400
SUITE 100
249 WINSTED RD
707 E. MAIN ST.
YAW 7B
755 NORTH BROADWAY
SUITE 1M
222 WESTCHESTER AVE. STE 202
100 WOODS RD
SUITE 1
PH 14 ROOM 104
100 WOODS RD
SUITE 208
SUITE 201
503 GRASSLANDS RD STE 200
Page 44 of 54
10583-3237
10583-3242
06830-5638
02215-5418
11042-3406
06418-1326
12546-5273
06460-4634
10509-2337
06902-2449
06831-4172
10543-3145
06002-2482
06708-3346
50401-2800
06516-2770
06468-1116
10065-6007
06510-3220
06095-1781
06824-5899
06708-3115
06519-1109
02903-4923
10595-1593
06320-5735
10532-2140
06830-6086
06790-2958
06511-1542
06708-3419
10940-2650
06423-1212
02114-2696
06519-1109
06831-5100
10591-1075
06905-5204
10604-2926
10595-1530
06708-3454
10065-6007
10032-3720
06510-3220
10595-1530
10065-6007
06810-4032
02903-4923
06851-0001
06903-3201
10595-1593
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
Service Address Line 2
City
State Zip Code
Phone Number
1295843613
1730220443
1720308612
1568615060
1871646836
1851709109
1710974530
1023171204
1598742926
1083794812
1003927856
1578734620
1831171297
1568544914
1124018015
1225353147
1629168059
1871663328
1346231248
1073562195
1972604528
1184792640
1962417600
1568452159
1043249030
1720175813
1073956611
1275579237
1992888069
1144360629
1861546103
1093773814
1477649309
1124214234
1316264286
1477879971
1255577680
1215060108
1528316544
1447406368
1013914167
1700088051
1528125713
1477523496
1790719177
1669528311
1528155918
1760619142
1831153477
1952309858
1548462351
SHAPIRO
SHAPIRO
SHAPOV
SHARMA
SHARNICK
SHAW
SHEA
SHEETS
SHEINFELD
SHENDER
SHEPARD
SHEPHERD HALL
SHERIDAN
SHERLINE
SHERLOCK
SHETTY
SHEVIN
SHIFREEN
SHIH
SHIMELMAN
SHITIA
SHKOLNIKOV
SHLASKO
SHOLOMSKAS
SHORE
SHORE
SHUJA
SHUSTERMAN
SIBLEY
SICA
SICILIA
SICKLE
SICO
SIDDIQUA
SIDHU-BUONOCORE
SIEGEL
SIEGEL
SIEGEL
SIENEL
SIERRA-CINTRON
SIKAND
SIKET
SILBERSTEIN
SILBERT
SILLS
SILVA
SILVER
SILVER
SILVERMAN
SILVERMAN
SILVERSTEIN
ROBERT
ROBERTA
ARLENNE
GIRISH
MAUREEN
EMILY
JUDITH
BRIAN
JOEL
ANNA
DANA
JANILINE
ROBERT
NADIA
REBECCA
NITASHA
WILLIAM
STEVEN
HELEN
M
HUSAM
TATYANA
EDWARD
ALAN
DOUGLAS
TSIPORAH
HUMA
SUZANNE
HEATHER
ROBBAN
GAIL
CHRISTINE
JEANINE
LATIFA
SUNITA
BERNARD
LESLEY
SUBHADRA
HEATHER
KEILA
VIJAY
MATTHEW
LINDA
JONATHAN
ROBERT
LEE TRACY
MARC
WENDY
AMY
NIRA
JARED
1767 SUMMER STREET
115 EAST 61ST ST, STE 10A
230 SOUTH FRONTAGE RD
CHILDREN'S & WOMENS PHYSICIAN
375 BRIDGEPORT AVE
800 CROSS RIVER ROAD
7 RIVERSVILLE ROAD
694 BOSTON POST ROAD
1275 YORK AVE
66 GLENBROOK RD
3600 EAST MAIN ST
20 YORK STREET, CB-2041
51 BLOSSOM ST
2880 OLD DIXWELL AVENUE
300 LONGWOOD AVENUE
34 PARK STREET
50 APPLEWOOD DRIVE
645 FARMINGTON AVENUE
55 FRUIT ST
1 LONG WHARF DRIVE
430 HIGHLAND AVE
CHILDREN'S & WOMAN'S PHYSICIAN
1275 YORK AVE
2440 WHITNEY AVE
5 DURHAM ROAD
520 E. 70TH STREET
5300 KIDSPEACE DRIVE
450 BROOKLINE AVENUE
263 FARMINGTON AVENUE
370 BOSTON POST ROAD
34 PARK ST
1515 ALLEN STREET
20 YORK STREET, CB-2041
CHILDREN'S & WOMAN'S PHYSICIAN
79 WAWECUS ST SUITE 101
61 OX BOW LANE
505 HUDSON STREET
CHILDREN''S & WOMAN''S PHYSICI
UMMC DEPT OF ORTHOPEDICS
915 RIVER ROAD
7 VAUXHALL STREET
593 EDDY STREET
430 WESTCHESTER AVENUE
1201 WEST MAIN STREET
30 LOCUST STREET
1275 SUMMER STREET
90 MORGAN STREET
CHILDREN''S & WOMAN''S PHYSICI
800 CROSS RIVER ROAD
22 WESTFIELD AVENUE
593 EDDY STREET
SUITE 01
STAMFORD
NEW YORK
NEW HAVEN
VALHALLA
SHELTON
KATONAH
GREENWICH
DARIEN
NEW YORK
STAMFORD
WATERBURY
NEW HAVEN
BOSTON
HAMDEN
BOSTON
NEW HAVEN
WOODSTOCK
HARTFORD
BOSTON
NEW HAVEN
CHESHIRE
CARMEL
NEW YORK
HAMDEN
GUILFORD
NEW YORK
OREFIELD
BOSTON
FARMINGTON
ORANGE
NEW HAVEN
SPRINGFIELD
NEW HAVEN
SLEEPY HOLLOW
NORWICH
WOODBRIDGE
HARTFORD
HAWTHORNE
WORCESTER
MIDDLETOWN
NEW LONDON
PROVIDENCE
PORT CHESTER
WATERBURY
NORTHHAMPTON
STAMFORD
STAMFORD
SLEEPY HOLLOW
KATONAH
ANSONIA
PROVIDENCE
CT
NY
CT
NY
CT
NY
CT
CT
NY
CT
CT
CT
MA
CT
MA
CT
CT
CT
MA
CT
CT
NY
NY
CT
CT
NY
PA
MA
CT
CT
CT
MA
CT
NY
CT
CT
CT
NY
MA
CT
CT
RI
NY
CT
MA
CT
CT
NY
NY
CT
RI
203-323-3400
212-888-4635
203-737-7129
914-367-0000
203-925-8510
914-763-8151
203-531-1808
203-202-7601
646-227-3813
203-961-8241
203-596-0406
203-688-1734
617-726-3575
203-288-5624
617-355-8537
203-974-7016
860-928-4040
860-570-3400
617-724-9627
203-314-3891
203-271-3132
914-922-2241
646-227-3813
203-776-2077
203-458-2040
646-962-2012
610-799-8160
617-632-5917
860-679-4636
203-799-7733
203-974-7300
413-782-7646
203-688-1734
914-922-2241
860-886-2655
203-387-6633
860-560-5020
914-922-2241
774-443-2216
860-704-4000
860-443-2896
401-854-2504
914-937-3434
203-573-4885
413-881-5427
203-325-2667
203-325-4087
914-922-2241
914-763-8151
203-735-6144
401-444-1767
HUSKY Health Connecticut / Charter Oak Health Plan
503 GRASSLANDS RD SUITE 201
SBI
YAW 108
SUITE 212
11 FAIR STREET
STARR 341
DANA-FARBER CANCER INSTITUTE
EMERGENCY MEDICINE
SUITE B
701 N BROADWAY
19 BRADHURTS AVE. STE 1400
55 LAKE AVE NORTH
SUITE 100
SUITE 105
SUITE 207
755 N BROADWAY STE. 540
HASBRO LL
Page 45 of 54
06905-5123
10065-8183
06520-0652
10595-1503
06484-3844
10536-0800
06831-3684
06820-4717
10065-6007
06902-8402
06705-3851
06510-3220
02114-2601
06518-3144
02115-5724
06519-1109
06281-2304
06105-8705
02114-2696
06511-5991
06410-2565
10512-1301
10065-6007
06518-3222
06437-2670
10021-9800
18069-2044
02215-5418
06030-2000
06477-3534
06519-1109
01118-1803
06510-3220
10591-1020
06360-2160
06525-1525
06510-7106
10532-2140
01655-2982
06457-3921
06350-5711
02903-4923
10573-2839
06708-3105
01060-2052
06905-5315
06905-5466
10591-1076
10536-0800
06401-1158
02903-4923
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
Service Address Line 2
City
State Zip Code
Phone Number
1124098124
1295788768
1235205444
1275897951
1427141365
1316057409
1386617892
1063495570
1114956661
1790955821
1396727111
1235485061
1386602175
1912108937
1609895366
1356329734
1639208218
1811131147
1215907225
1326376187
1235453176
1316032931
1811156177
1528226750
1538202379
1881761260
1457345159
1770719049
1194773093
1124306881
1366451155
1235174590
1134174592
1629036116
1003916974
1245352863
1609849728
1811946494
1316924756
1710995287
1740228535
1205902210
1538235791
1144257445
1932143591
1801079645
1457432502
1134104482
1588652358
1205040524
1487680831
SILVERSTONE
SILVIO
SIMJEE
SIMMONS
SIMMONS
SIMOES
SIMON
SIMONDS
SINGH
SINGH
SINGH
SINGH
SINGH
SINGH
SIRLEAF
SIROKA
SIVA
SIVARAJU
SKLAR
SLANE
SLUTZMAN
SMEAD
SMITH
SMITH
SMITH
SMITH
SMITH
SMITH
SMITH
SMITH
SMITH
SMOLSKI
SNELLING
SNOWISE
SNYDER
SOBO
SOCHA
SOFAIR
SOGANI
SOKARIS
SOKOLOSKI
SOLLACCIO
SOLLINGER
SOLOF
SOMMER
SONDERGAARD
SONENKLAR
SONODA
SOOD
SOOJIAN
SOOVAJIAN
DAVID
ELISSA
MOHAMMED
CRYSTAL
DEBBIE
MEERA
SCOTT
GARY
AKHILESH
ARUN
BHUVANESH
BIRINDER
KABUL
NANDITA
JAMES
PETER
SUBRA
ADITHYA
CRAIG
ASSUNTA
JONATHAN
KENNETH
BENAY
ELIZABETH
JANIS
JOANN
MATTHEW
MATTHEW
MELINDA
PAULA
THOMAS
SUE
LINDA
MARK
CHRISTOPHER
HENRY
CHRISTY
JANE
PRAMOD
STEPHEN
PAUL
PETER
JONATHAN
GREGORY
KAREN
KAREN
NEIL
YUKIO
PARDEEP
MICHAEL
VICTORIA
40 TEMPLE STREET
VA CLINIC
CAPITOL REGION MENTAL HEALTH C
189 STORRS RD
400 CAPITAL BLVD
1 RANDALL SQUARE
6 GREENWICH OFFICE PARK
1906 BELLEVIEW AVE
555 WILLARD AVE
600 MAMARONECK AVE
1275 YORK AVE
24 HOSPITAL AVE
43-73 UNION STREET
CHILDREN'S & WOMAN'S PHYSICI
130 DIVISION
1450 WASHINGTON BLVD
STS, 1461,SOUTH BRITAIN ROAD
20 YORK STREET
1201 WEST MAIN STREET
2408 WHITNEY AVE
55 LAKE AVENUE NORTH
VETERANS ADMINISTRATION CLINIC
SILVER STREET
1305 POST ROAD
30 SHELBURNE RD
1261 POST ROAD
455 TOLL GATE ROAD
BREWSTER ROAD
555 WILLARD AVE
230 S FRONTAGE ROAD
ONE TURKEY HILL ROAD SOUTH
55 NYE ROAD
593 EDDY STREET
710 STOCKBRIDGE RD
40 COMMERCE PARK
111 HIGH RIDGE RD
111 SALEM TURNPIKE
84 HOSPITAL AVENUE
1275 YORK AVE
1300 MASSACHUSETTS AVENUE
BREWSTER ROAD
352 SEVENTH AVENUE SUITE 805
1563 POST ROAD EAST
20 WEST AVON RD
450 BROOKLINE AVENUE
64 ROBBINS STREET
CUMBERLAND HOSPITAL
1275 YORK AVE
5520 PARK AVENUE
40 CROSS STREET
1000 SILVER STREET
SUITE 5B
7 GERMANTOWN RD
500 VINE STREET
NATCHAUG HOSPITAL
3RD FLOOR
SUITE 205
NEW HAVEN
DANBURY
HARTFORD
MANSFIELD
ROCKY HILL
PROVIDENCE
GREENWICH
ROANOKE
NEWINGTON
HARRISON
NEW YORK
DANBURY
FLUSHING
HAWTHORNE
DERBY
STAMFORD
SOUTHBURY
NEW HAVEN
WATERBURY
HAMDEN
WORCESTER
NEW LONDON
MIDDLETOWN
FAIRFIELD
STAMFORD
FAIRFIELD
WARWICK
BRISTOL
NEWINGTON
NEW HAVEN
WESTPORT
GLASTONBURY
PROVIDENCE
LEE
MILFORD
STAMFORD
NORWICH
DANBURY
NEW YORK
TROY
BRISTOL
NEW YORK
WESTPORT
AVON
BOSTON
WATERBURY
NEW KENT
NEW YORK
TRUMBULL
NORWALK
MIDDLETOWN
CT
CT
CT
CT
CT
RI
CT
VA
CT
NY
NY
CT
NY
NY
CT
CT
CT
CT
CT
CT
MA
CT
CT
CT
CT
CT
RI
CT
CT
CT
CT
CT
RI
MA
CT
CT
CT
CT
NY
NY
CT
NY
CT
CT
MA
CT
VA
NY
CT
CT
CT
203-573-4885
203-798-8422
860-297-0909
860-456-1311
860-221-0797
401-331-7181
203-869-1145
800-645-3055
860-666-6951
914-517-0021
646-227-3813
203-739-8105
718-460-9395
914-922-2241
616-464-0027
203-327-9321
203-586-2503
203-688-9503
203-573-4885
203-626-0160
508-334-8890
860-437-3611
860-262-5000
203-259-7709
203-276-7058
203-255-0770
401-273-0641
440-627-2625
860-666-6951
203-785-3370
646-737-2687
860-657-3056
401-444-4201
413-243-0122
203-878-3531
203-348-8805
860-859-2262
203-792-0400
646-227-3813
623-241-8350
440-627-2625
212-255-1397
203-319-3939
860-673-0451
617-632-5917
203-573-6056
804-966-2242
646-227-3813
203-743-7246
203-845-2995
860-262-5868
HUSKY Health Connecticut / Charter Oak Health Plan
VA MEDICAL CENTER
SUITE 400
SUITE CA
19 BRADHURST AVE. STE 200N
SUITE 100
EMERGENCY MEDICINE
4 SHAWS COVE SUITE 101
BOX 351
SUITE 310
SUITE 200 - A
SUITE 102
SUITE 1
SUITE 7
DANA-FARBER CANCER INSTITUTE
9407 CUMBERLAND RD
SUITE 303
SUITE 300
Page 46 of 54
06510-2715
06810-2044
06112-1639
06250-1683
06067-3576
02904-2773
06831-5100
24014-1838
06111-2631
10528-1635
10065-6007
06810-6099
11355-3191
10532-2140
06418-1326
06902-9317
06488-0901
06510-3202
06708-3105
06518-3209
01655-0002
06320-4956
06457-7023
06824-6018
06902-2638
06824-6072
02228-2770
06011-0977
06011-0601
06519-1124
06880-2621
06033-1281
02903-4923
01238-9998
06460-3506
06905-3809
06360-6459
06810-6047
10065-6007
12180-1619
06011-0977
10001-5189
06880-5602
06001-3540
02215-5418
06708-2613
23124-2029
10065-6007
06611-9999
06851-4661
06457-7023
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1184751547
1770741555
1699797290
1891958674
1376527929
1740225416
1407956378
1700038858
1093816175
1073553707
1215950662
1174539191
1942243118
1093943193
1679536791
1730306994
1457447757
1730269416
1396702205
1780775577
1033268602
1568702033
1477569713
1124265228
1356780613
1528181088
1669436820
1760658264
1225180771
1790778330
1144556234
1114945623
1750494076
1811063027
1326269465
1609904960
1053342394
1023173341
1417069543
1053396192
1487746111
1821085382
1871688531
1124190228
1851548374
1639501331
1215924618
1508952219
1659432029
1902022833
1649287665
SORENSEN
SORRENTINO
SOUFER
SOUSSAN
SOUWEIDANE
SPAK
SPANOLIOS
SPARTA
SPECTOR
SPECTOR
SPELMAN
SPENCE
SPENCER
SPENCER
SPERANZA
SPINELLA
SPINELLI
SPIRO
SPITALNIC
SPROVIERO
SRIHARI
ST. LAWRENCE
STAHL
STAMM
STANISH
STANLEY
STARK
STARKS
STARR
STAWARKY
STAZINSKI
STEELE
STEFANINI
STEIN
STEIN
STEIN
STEIN
STEINER
STEINHARDT
STEPHENS
STEPHENS
STERLING
STERN
STERN
STEVENS
STEVENS
STEWART
STIDHAM
STILLMAN
STINE
STITELMAN
RICHARD
SUSANNA
JOSEPH
ELIE
MARK
JAMES
PARIS
KHRISTINE
GARY
SCOTT
JULIETTE
ROBERT
BENJAMIN
STACY
MUSA
ANTHONY
HENRY
CAROLYN
STUART
JOSEPH
VINOD
MEGHAN
BARBARA
DANIELLE
HEATHER
TYLER
JACK
JAMES
CAROL
ANN-MARIE
ALLYSON
MAUREEN
ALAN
GARY
IRA
SANDERS
STEVEN
JEANNE
MINDI
DANIEL
EDWARD
ROBERT
JEFFREY
LEONARD
MARK
REBECCA
JULIAN
KATRINA
MARGARET
ROBERT
MICHAEL
1380 E MEDICAL CENTER DRIVE
CHILDREN''S & WOMAN''S PHYSICI
500 CHASE PARKWAY
34 SYCAMORE AVENUE
1275 YORK AVE
888 WHITE PLAINS RD
40 COMMERCE PARK
1881 POST RD
40 COMMERCE PARK
761 MAIN AVE
950 CAMPBELL AVENUE
WING MEMORIAL HOSPITAL
90 S BEDFORD ROAD
20 YORK STREET, CB-2041
800 HOWARD AVE
1000 ASYLUM AVENUE
875 FIFTH AVENUE
387 DANBURY RD
11 FRIENDSHIP STREET
148 EAST AVENUE STE 3G
34 PARK ST
800 CROSS RIVER ROAD
YALE-NEW HAVEN HOSPITAL
300 LONGWOOD AVE
800 CROSS RIVER ROAD
970 FARMINGTON AVENUE
132 MAIN ST
521 WEST 57TH STREET-4TH FLR
41 NORTH MAIN STREET
19 WOODLAND STREET
300 LONGWOOD AVE
31 RIVER ROAD
1515 ALLEN STREET
CAPITOL REGION MENTAL HEALTH C
497 MAIN ST
2777 SUMMER ST
263 FARMINGTON AVENUE
34 PARK ST
397 BRIDGEPORT AVENUE
75 SEMINARY HILL RD.
12 WINDWARD AVENUE
825 HIGH RIDGE RD
51 DEPOT ST
635 WEST 168TH STREET
56 FRANKLIN STREET
300 LONGWOOD AVENUE
CHILDREN'S & WOMAN'S PHYSICI
19 BRADHURST AVENUE
CHILDREN'S & WOMAN'S PHYSICIAN
800 CROSS RIVER ROAD
155 MEADOW ST
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
175 KING STREET
SUITE 2A
SUITE 1
SUITE 1
11ACSL
40 WRIGHT ST
SUITE 2106
20 YORK STREET
SUITE 201
SUITE 210
SUITE 35
SUITE 200
SUITE B
500 VINE STREET
SUITE 504B
EMERGENCY MEDICINE
SUITE 201
PH4 RM 124
19 BRADHURTS AVE. STE 1400
SUITE 3600S
150 WHITE PLAINS RD STE 101
Page 47 of 54
City
State Zip Code
Phone Number
ST GEORGE
CHAPPAQUA
WATERBURY
LITTLE SILVER
NEW YORK
TRUMBULL
MILFORD
FAIRFIELD
MILFORD
NORWALK
WEST HAVEN
PALMER
MT KISCO
NEW HAVEN
NEW HAVEN
HARTFORD
NEW YORK
WILTON
NEWPORT
NORWALK
NEW HAVEN
KATONAH
NEW HAVEN
BOSTON
KATONAH
WEST HARTFORD
DANBURY
NEW YORK
WEST HARTFORD
HARTFORD
BOSTON
COS COB
SPRINGFIELD
HARTFORD
ANSONIA
STAMFORD
FARMINGTON
NEW HAVEN
MILFORD
CARMEL
WHITE PLAINS
STAMFORD
WATERTOWN
NEW YORK
WATERBURY
BOSTON
HAWTHORNE
HAWTHORNE
TARRYTOWN
KATONAH
BRANFORD
UT
NY
CT
NJ
NY
CT
CT
CT
CT
CT
CT
MA
NY
CT
CT
CT
NY
CT
RI
CT
CT
NY
CT
MA
NY
CT
CT
NY
CT
CT
MA
CT
MA
CT
CT
CT
CT
CT
CT
NY
NY
CT
CT
NY
CT
MA
NY
NY
NY
NY
CT
801-442-1431
914-922-2241
203-528-9032
732-747-9310
646-227-3813
203-268-2882
203-878-3531
203-255-1036
203-878-3531
203-853-9900
866-808-7921
978-466-2994
914-242-5621
203-688-1734
203-785-4216
860-246-2541
212-570-6235
203-762-3881
401-854-2508
203-838-4034
203-974-7300
914-763-8151
203-785-2705
617-919-7307
914-763-8151
860-561-4300
203-794-1979
646-557-3847
860-313-0818
860-525-1234
617-919-7307
845-639-0007
413-782-7646
860-297-0999
203-735-1555
203-232-4008
860-679-4636
203-974-7300
203-877-0112
845-225-3400
914-686-9075
203-322-3700
860-274-2418
212-305-5020
215-442-5046
617-355-8537
914-922-2241
914-693-7636
914-922-2241
914-763-8151
203-481-4637
84790-2123
10514-3471
06708-3346
07739-1248
10065-6007
06611-4552
06460-3506
06824-5721
06460-3506
06851-1080
06516-2770
01069-1138
10549-3412
06510-3220
06519-0309
06105-1755
10065-4952
06897-2529
02840-2209
06851-5727
06519-1109
10536-0800
06510-8039
02115-5724
10536-0800
06107-2139
06810-7863
10019-2929
06107-1929
06105-2372
02115-5724
06807-2152
01118-1803
06112-1639
06401-2308
06905-4318
06030-2000
06519-1109
06460-4151
10512-1921
10605-5307
06905-1904
06795-2667
10032-3270
06706-1253
02115-5724
10532-2140
10532-2140
10591-5521
10536-0800
06405-3656
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
Service Address Line 2
City
State Zip Code
Phone Number
1053410712
1649272683
1154349058
1386892354
1053346924
1528036894
1700888450
1245386663
1285605998
1407263890
1164516415
1972789402
1306018221
1124019815
1629250246
1689725087
1538235163
1710286505
1083928006
1114997137
1861483414
1235305780
1649286774
1316149222
1114037504
1013015809
1437193604
1548365935
1891086591
1720193691
1629395819
1417997941
1659337038
1669697454
1013958057
1538447982
1275886293
1366409450
1326016981
1336123983
1376535757
1104850890
1508161969
1689861437
1437257003
1629041728
1649372244
1932304490
1730278201
1518217231
1477882223
STOCKER
STOCKHEIM
STOCKI
STOLZENBERG
STONE
STONE
STRASSBERG
STRASSBERGER
STRAUS
STRAUS
STRINGEL
STROBER
STROHMAYER
STRONG
STRUBBE
STUNTZ JR
SUBRAMANIAN
SUBRAMONY
SUDERIO-TIRONE
SUGIN
SUHOCKI
SUKUMARAN
SULLIVAN
SUNDSTROM
SUNER
SUNG
SUREDDI, PRASAD S.
SUSSMAN
SUTHAR
SUTTON
SWANSON
SWARTZ
SWEENEY
SWEENEY
SWORDS
SYED
SYLVIA
SZAKACS
SZLATENYI
TABAR
TAFT
TAGGART
TALATI
TAMARI
TANEJA
TANKSLEY
TANNEBRING
TARASUK
TARQUINIO
TASHAKORI
TAVERAS PANTALEON
RALPH
JANET
JERZY
JONATHAN
JOHN
RICHARD
SONYA
GERALD
DAVID
MELISSA
GUSTAVO
STEPHEN
ERIKA
VIVIAN
REBECCA
RICHARD
SHIELA
RACHNA
ELAINE
STEPHANIE
DAVID
ANAND
FRANCIS
KATHERINE
SELIM
JENNY
85 SEYMOUR STREET
CHILDREN'S & WOMAN'S PHYSICIAN
82 NORWICH WESTERLY RD.,
32 ARLINGTON RD
55 FRUIT ST
450 BROOKLINE AVENUE
CHILDREN''S & WOMAN''S PHYSICI
16 RIVER STREET
1275 YORK AVENUE
800 CROSS RIVER ROAD
CHILDREN'S & WOMAN'S PHYSICIAN
70-31 108TH ST.
3180 MAIN STREET
1275 YORK AVE
SOUTH BRITAIN RD
435 LEWIS AVENUE
173 EAST AVE
55 LAKE AVENUE NORTH
CHILDREN'S & WOMENS PHYSICIAN
1201 WEST MAIN STREET
ADVANCED DERMATOLOGY CENTER
55 LOCK ST
593 EDDY STREET
1000 SILVER STREET
593 EDDY STREET
CHILDREN'S & WOMAN'S PHYSICI
10 MAIN STREET SOUTH
20 YORK STREET, CB-2041
88 BEACH STREET
2 OVERHILL RD STE 225
300 LONGWOOD AVE
6 HURON DR.
450 BROOKLINE AVENUE
593 EDDY STREET
140 GLASTONBURY BLVD
CHILDREN''S & WOMAN''S PHYSICI
1680 ALBANY AVE
3 HOLLYHOCK LANE
455 TOLLGATE ROAD
1275 YORK AVE
308 CALLAHAN RD
678 MAIN ST
435 LEWIS AVENUE
MSKCC 1275 YORK AVENUE
20 YORK STREET, CB-2041
111 SALEM TURNPIKE
300 LONGWOOD AVE
1064 CHASE PKWY
593 EDDY STREET
1305 POST ROAD
20 YORK STREET, CB-2041
SUITE 1003
19 BRADHURST AVE. STE 2400
#3
HARTFORD
HAWTHORNE
NORTH STONINGTON
WEST HARTFORD
BOSTON
BOSTON
VALHALLA
NORWALK
NEW YORK
KATONAH
HAWTHORNE
FOREST HILLS
BRIDGEPORT
NEW YORK
SOUTHBURY
MERIDEN
NEW CANAAN
WORCESTER
POUGHKEEPSIE
WATERBURY
WOLCOTT
NEW HAVEN
PROVIDENCE
MIDDLETOWN
PROVIDENCE
POUGHKEEPSIE
SOUTHBURY
NEW HAVEN
WESTERLY
SCARSDALE
BOSTON
NATICK
BOSTON
PROVIDENCE
GLASTONBURY
TUCKAHOE
HARTFORD
WILTON
WARWICK
NEW YORK
NORTH KINGSTOWN
BRANFORD
MERIDEN
NEW YORK
NEW HAVEN
NORWICH
BOSTON
WATERBURY
PROVIDENCE
FAIRFIELD
NEW HAVEN
CT
NY
CT
CT
MA
MA
NY
CT
NY
NY
NY
NY
CT
NY
CT
CT
CT
MA
NY
CT
CT
CT
RI
CT
RI
NY
CT
CT
RI
NY
MA
MA
MA
RI
CT
NY
CT
CT
RI
NY
RI
CT
CT
NY
CT
CT
MA
CT
RI
CT
CT
860-246-4260
914-922-2241
860-599-2469
860-521-5685
617-726-7938
617-632-5917
914-922-2241
203-853-2545
212-639-8365
914-763-8151
914-922-2241
718-268-1302
203-372-7200
646-227-3813
203-586-2000
203-694-8630
203-972-4236
508-334-8890
914-922-2241
203-573-4885
203-879-6171
203-432-0390
401-854-2504
860-262-5868
401-854-2504
914-922-2241
203-264-6334
203-688-1734
401-596-0075
914-636-0077
617-919-7307
508-647-4098
617-632-5917
401-854-2504
860-674-1778
914-922-2241
860-297-4511
203-834-2813
401-737-7000
646-227-3813
401-567-0800
203-483-1616
203-694-8630
646-227-3813
203-688-1734
860-859-2262
617-355-8537
203-597-0055
401-444-4201
203-259-7709
203-688-1734
LOUIS
KAVITA
IRA
ELIZABETH
MITCHELL
CHRISTOPHER
LYNN
ROBERT
AMBREEN
KAREN
GAIL
CHARLES
VIVIANE
SUSAN
WILLIAM BLAKE
MISTI
RONI
ANSHU
RADFORD
ELIZABETH
WILLIAM
KEIKO
DANIELLE
ANA
HUSKY Health Connecticut / Charter Oak Health Plan
YAW 2
DANA-FARBER CANCER INSTITUTE
100 WOODS RD
BOX 441
19 BRADHURST AVE. STE 1400
STE. #5
SUITE 105
EMERGENCY MEDICINE
VASSAR BROTHERS HOSP.45READE
SUITE 100
464 WOLCOTT ROAD
MENTAL HEALTH & COUNSELING
BOX 351
45 READE PL
DANA-FARBER CANCER INSTITUTE
3RD FLOOR
115 MAIN STREET STE 301
SUITE A
SUITE 7
SUITE 310
Page 48 of 54
06106-5529
10532-2144
06359-1744
06107-1603
02114-2696
02215-5418
10595-1530
06850-3402
10065-6007
10536-0800
10532-2144
11375-2247
06606-4237
10065-6007
06488-0901
06451-2101
06840-5614
01655-0002
12601-3947
06708-3105
06716-2626
06511-8237
02903-4923
06457-7023
02903-4923
12601-3947
06488-2260
06510-3220
02891-2718
10583-5323
02115-5724
01760-1325
02215-5418
02903-4923
06033-4459
10707-2949
06105-0610
06897-4443
02886-2759
10065-6007
02852-9999
06405-3670
06451-2101
10065-9321
06510-3220
06360-7403
02115-5724
06708-2942
02903-4923
06824-6018
06510-3220
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1558309435
1548292188
1336438696
1669483939
1134265044
1316258304
1821291675
1417932922
1902829542
1285632240
1154450450
1154388361
1437361870
1659307106
1093933681
1689935876
1649290289
1043511454
1215028139
1861471088
1003220062
1043233240
1861411530
1588071476
1700062239
1174676837
1740363779
1407970254
1679578462
1740201854
1235212663
1790868487
1205917168
1275590150
1528234788
1881773976
1396773511
1275515371
1770522807
1679545222
1245473776
1003884784
1235190984
1558309799
1932186376
1801833009
1780769919
1780659292
1811997257
1235289190
1730285990
TAYLOR
TAYLOR
TAYLOR
TAYLOR
TEK
TEKMYSTER
TELTSER
TEMPLE
TEPPER
TESHER
TESLUK
TESORO
THAKKAR
THANKAPPAN
THELISSA
THIBODEAU
THOMAS
THOMAS
THOMAS
THOMPSON
THOMPSON
THOMSEN
THOMSON
THORNTON
THRASHER
TIBERI
TICKEY
TIE
TIFFORD
TILMAN
TIMMONS
TINKLER
TIPTON
TOBACK
TOBIAS
TOBKES
TOKSOY
TOKUNO
TOM
TORINA
TORMEY
TORRES
TORTORA
TOTA
TOUIJER
TRACY
TRACY
TRACY III DMD
TRAEGER
TRAILOR
TRAINA
ELISABETH
GLENN
JEROME
STEPHANIE
CENK
GENE
ROBERT
LARISSA
JEFFREY
MARTIN
CATHERINE
MICHAEL
VATSAL
KUNJATHAN
HARRIS
DANIELLE
ERIC
NATASHA
RONALD
ROBERT
TAYLOR
JEFFREY
DONALD
BRITTANY
MARIE
THOMAS
GARY
KAREN
CRAIG
KERI
KAROL
MICHAEL
KAREN
GREGORY
MICHAEL
JONATHAN
JOHN
HAJIME
MICHAEL
GEORGEANN
LAUREN
ANDRES
PETER
ROBERT
KARIM
STEPHEN
TODD
DANIEL
NADAV
CHRISTOPHER
TIFFANY
63 HARMONY HILL RD
500 CHASE PARKWAY
34 PARK STREET
300 SUMMIT ST
34 PARK ST
888 WHITE PLAINS ROAD
162 KINGS HIGHWAY NORTH
1275 YORK AVE
15 NEW BRITAIN AVE.
9 EAST 68 STREET
240 BRADLEY ST
152 EAST STREET
1720 POST RD E. SUITE 223
380 MAIN STREET SUITE 4
682 PROSPECT AVE
2 COTTON HOLLOW ROAD
11 SOUTH MAIN STREET
400 CAPITAL BLVD
ST. MARY''S HOSPITAL
100 WELLS STREET
759 CHESTNUT STREET
55 TOWN LINE ROAD
725 NORTH ST
800 CROSS RIVER ROAD
180 FAIRFIELD AVE
3015 MAIN STREET
64 ROBBINS STREET
555 WILLARD AVENUE
31 STRAWBERRY HILL AVE
11 FRIENDSHIP STREET
300 LONGWOOD AVE
435 LEWIS AVE
NATCHAUG HOSPITAL
190 HEMPSTEAD STREET
19 BRADHURST AVENUE
115 EAST 61ST STREET
55 LOCK STREET
VA CONNECTICUT HEALTHCARE SERV
984 N. BROADAY
6 GREENWICH OFFICE PARK
20 YORK STREET, CB-2041
1700 SOUTH TAMIAMI TRAIL
1300 POST RD
1635 CENTRAL AVENUE
1275 YORK AVE
29 LEWIS AVE
40 COMMERCE PARK
100 FANNING AVENUE
CHILDREN'S & WOMAN'S PHYSICIAN
130 NEW LONDON TPKE.
1275 YORK AVE
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
TRINITY COLLEGE HEALTH CENTER
FIRST FLOOR
SUITE 1C
3RD FLOOR
56 FRANKLIN STREET
SUITE 1B
SUITE 202
189 STORRS RD
SUITE 7F
950 CAMPBELL AVE
SUITE 400
SUITE 202
SUITE 1
19 BRADHURST AVE. STE 1400
Page 49 of 54
City
State Zip Code
Phone Number
CHEPACHET
WATERBURY
NEW HAVEN
HARTFORD
NEW HAVEN
TRUMBULL
WESTPORT
NEW YORK
UNIONVILLE
NEW YORK
NEW HAVEN
SHARON
WESTPORT
WATERTOWN
HARTFORD
NAUGATUCK
MIDDLETOWN
ROCKY HILL
WATERBURY
HARTFORD
SPRINGFIELD
WETHERSFIELD
PITTSFIELD
KATONAH
BRIDGEPORT
BRIDGEPORT
WATERBURY
NEWINGTON
STAMFORD
NEWPORT
BOSTON
MERIDEN
MANSFIELD
NEW LONDON
HAWTHORNE
NEW YORK
NEW HAVEN
WEST HAVEN
YONKERS
GREENWICH
NEW HAVEN
SARASOTA
FAIRFIELD
BRIDGEPORT
NEW YORK
GREAT BARRINGTON
MILFORD
NORWICH
HAWTHORNE
NORWICH
NEW YORK
RI
CT
CT
CT
CT
CT
CT
NY
CT
NY
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
MA
CT
MA
NY
CT
CT
CT
CT
CT
RI
MA
CT
CT
CT
NY
NY
CT
CT
NY
CT
CT
FL
CT
CT
NY
MA
CT
CT
NY
CT
NY
401-949-0690
203-755-6677
203-974-7016
860-297-2018
203-974-7300
203-268-2882
203-226-6309
646-227-3813
860-673-2455
212-639-1800
203-562-4942
860-364-5615
203-220-6390
860-274-7304
860-236-2320
203-910-9645
860-347-4555
860-221-0797
215-442-5046
860-249-4466
413-794-3233
860-529-5280
413-447-2752
914-763-8151
203-394-6529
203-365-0015
215-442-5046
860-667-6763
203-276-7058
401-854-2508
617-355-8537
330-493-4443
860-456-1311
860-443-2428
914-345-8111
212-861-0763
203-432-0075
203-937-4724
914-963-8588
203-869-1145
203-688-1734
800-645-3055
203-255-8827
203-551-7464
646-227-3813
413-447-2752
203-878-3531
860-892-4996
914-922-2241
860-889-3889
646-227-3813
02814-1429
06708-3346
06519-1109
06106-3100
06519-1109
06611-4552
06880-2425
10065-6007
06085-1277
10065-4998
06510-1108
06069-2415
06880-5643
06795-1809
06105-4238
06770-4728
06457-3646
06067-3576
06706-1253
06103-2920
01199-1619
06109-4352
01201-4132
10536-0800
06604-4252
06606-4215
06708-2613
06111-6131
06902-2608
02840-2209
02115-5724
06451-2101
06250-1683
06320-6248
10532-2180
10065-8185
06511-2837
06516-2770
10701-1308
06831-5100
06510-3220
34239-3509
06824-6038
06610-2717
10065-6007
01230-1713
06460-3506
06360-2943
10532-2140
06360-0130
10065-6007
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
Service Address Line 2
City
State Zip Code
Phone Number
1891734885
1851554331
1447396973
1558550517
1063836237
1083637060
1619223955
1881641512
1720098247
1518279736
1548295389
1730280355
1962609958
1003812421
1356395966
1609856020
1861584575
1376668178
1467446807
1437385481
1033165279
1356312854
1083731665
1619146347
1134369531
1689732067
1134222987
1356575484
1518098375
1417151457
1093759227
1326205915
1811242381
1346208881
1861666539
1063509990
1609895804
1902961469
1588726731
1558425678
1750489290
1659545655
1760760268
1508807603
1881850360
1962402156
1417234410
1386719565
1942294277
1861440901
1831257799
TRAUM
TRAVERSO
TREADO
TREANTAFILOS
TREE
TRESS
TREXLER
TRITOS
TROWBRIDGE
TROY
TRUMMEL
TRUSCINSKI
TSAI
TSE
TUBBS
TULACRO
TUMENIUK
TUREK
TURETSKY
TURNER
TURNER
TUTTLE
TYSON
UBOHA
UDOYEN
ULLES
URBANSKI
USMANI
UY
VADASDI
VALI
VALLERIE
VAN SCHALKWYK
VAN-RYE PLASSE
VANASSE
VANDERBEEK
VANVLEET
VASHI
VASHIST
VASILE
VASQUEZ
VASU
VEILLETTE
VEKSLER OFFENGENDEN
VELASCO
VELEZ-DOMENECH
VERMUELEN
VERNOCCHI
VICINI
VILAR
VILLA
AVRAM
PURNELL
ROBERT
MARIANNE
DAWN
MICHAEL
JAMIE
NICHOLAS
RANDY
LISA
JOHN
EDWARD
DEVIN
MARY
ROBERT
JIM
ALEXANDER
THOMAS
ARTHUR
CAROL
DARYL
ROBERT
VEDA
NATALIYA
UBONG
MONICA
MARIANNE
NADEEM
GEORGE
KATHERINE
ANDREA
AMY
GERRIT IAN
JESSICA
REBECCA
LISA
MARCIA
GITTA SONIA
IPSHITA
JULIE
LUZ
SEEMA
STEPHANIE
IRENA
JASON
GILBERTO
JESSICA
LINDA
HENRY
ROLAND
JOSE
55 FRUIT ST
195 EASTERN BOULEVARD
670 EAST ROAD
39 OLD RIDGEBURY RD
800 CROSS RIVER ROAD
CAPITOL REGION MENTAL HEALTH C
5300 KIDSPEACE DRIVE
ZERO EMERSON PLACE
22 EAGLE ROAD
CHILDREN'S & WOMAN'S PHYSICI
1 MEDICAL CENTER DR
25 CLINTON ST.
164 SUMMIT AVENUE
136 SHERMAN AVE
593 EDDY STREET
1351 WASHINGTON BLVD
345 BOSTON POST ROAD
1389 WEST MAIN ST
15 CORPORATE DRIVE
1 ELMCROFT ROAD
701 W COCOA BEACH CAUSEWAY
1275 YORK AVE
126 MORGAN STREET
YALE NEW HAVEN HOSPITAL
1000 SILVER STREET
300 LONGWOOD AVE
546 SOUTH BROAD ST SUITE 3A
435 LEWIS AVENUE
800 CROSS RIVER ROAD
6 GREENWICH OFFICE PARK
308 CALLAHAN RD
CHILDREN'S & WOMAN'S PHYSICI
YALE HOUSESTAFF OFFICE
12 CASE STREET SUITE 305
11 WELLS ST
WESTCHESTER MEDICAL CENTER
101 DUDLEY STREET
800 CROSS RIVER ROAD
20 YORK STREET, CB-2041
30 SHELBURNE RD
950 CAMPBELL AVENUE
500 CHASE PARKWAY
435 LEWIS AVE
55 WALLS DRIVE
800 CROSS RIVER ROAD
CHILDREN''S & WOMAN''S PHYSICI
5300 KIDSPEACE DRIVE
622 WEST 168TH STREET
38 NARROWS RD
CHILDREN''S & WOMAN''S PHYSICI
223 GLENBROOK ROAD
YAW 6C
SUITE 200
BOSTON
GLASTONBURY
BRISTOL
DANBURY
KATONAH
HARTFORD
OREFIELD
BOSTON
DANBURY
GARNERVILLE
LEBANON
NEW BRITAIN
PROVIDENCE
NEW HAVEN
PROVIDENCE
STAMFORD
MILFORD
WATERBURY
TRUMBULL
STAMFORD
COCOA BEACH
NEW YORK
STAMFORD
NEW HAVEN
MIDDLETOWN
BOSTON
MERIDEN
MERIDEN
KATONAH
GREENWICH
NORTH KINGSTOWN
VALHALLA
NEW HAVEN
NORWICH
WESTERLY
VALHALLA
PROVIDENCE
KATONAH
NEW HAVEN
STAMFORD
WEST HAVEN
WATERBURY
MERIDEN
FAIRFIELD
KATONAH
VALHALLA
OREFIELD
NEW YORK
ASSONET
NEWBURGH
STAMFORD
MA
CT
CT
CT
NY
CT
PA
MA
CT
NY
NH
CT
RI
CT
RI
CT
CT
CT
CT
CT
FL
NY
CT
CT
CT
MA
CT
CT
NY
CT
RI
NY
CT
CT
RI
NY
RI
NY
CT
CT
CT
CT
CT
CT
NY
NY
PA
NY
MA
NY
CT
617-726-2908
860-781-6285
860-589-0874
203-702-7400
914-763-8151
860-297-0909
610-799-7089
617-726-7948
203-778-8326
914-922-2241
603-650-5000
860-223-6533
401-854-2504
203-776-7458
401-854-2504
203-276-2000
203-876-2696
203-757-1287
203-261-3980
203-351-7700
623-582-2141
646-227-3813
917-533-0542
475-202-9827
860-262-5868
617-355-8537
203-630-1312
203-284-1340
914-763-8151
203-869-1145
401-567-0800
914-922-2241
203-688-9503
860-886-0944
401-273-0641
914-493-5798
401-273-0641
914-763-8151
203-688-1734
203-276-7058
203-932-5711
203-755-6677
330-493-4443
203-259-7070
914-763-8151
914-922-2241
610-799-7082
212-305-5020
508-644-3101
914-922-2241
203-359-9039
HUSKY Health Connecticut / Charter Oak Health Plan
500 VINE STREET
STE 112
171 RAMPA RD
STE 301
SUITE 208
20 YORK STREET
BOX 351
503 GRASSLANDS RD STE 200
20 YORK STREET ROOM 222
100 WOODS RD. MACY 114W
STE. 405
503 GRASSLANDS RD STE 200
PH-4 ROOM 476
70 DUBOIS ST.
Page 50 of 54
02114-2696
06033-1208
06010-6845
06810-5103
10536-0800
06112-1639
18069-2044
02114-2217
06810-4129
10923-1552
03756-0001
06053-3585
02906-2894
06511-5210
02903-4923
06902-9317
06460-2528
06708-3115
06611-1351
06926-0700
32931-3585
10065-6007
06905-5478
06504-3220
06457-7023
02115-5724
06450-6694
06451-2105
10536-0800
06831-5100
02852-9999
10595-1593
06510-3220
06360-2373
02891-2998
10595-1530
02905-2401
10536-0800
06510-3220
06904-9317
06516-2700
06708-3346
06451-2101
06824-5163
10536-0800
10595-1593
18069-2044
10032-3270
02702-0372
12550-4851
06906-2514
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1760514004
1538204300
1912275926
1710106224
1285723627
1831475706
1417147406
1013174697
1225006505
1366532343
1336404722
1871528406
1326173451
1366679235
1639245269
1962679548
1104958438
1639210479
1164480323
1114913894
1891083960
1992840284
1285674689
1487868394
1649546748
1568608669
1013008317
1477622686
1093158156
1952415804
1336245737
1740405885
1376578880
1487792305
1528334695
1588988414
1063558088
1518297597
1740212323
1538405923
1902946890
1548490287
1912989914
1083740732
1821027244
1831106228
1649343807
1750597340
1619052131
1649484445
1891882692
VILLALBA
VINCENT
VINIAS
VINOSKI
VIOLA
VIRK
VISCHIO
VITALE
VITALE
VOGEL
VOGT
VOGT
VOLLMER
VOLPICELLI
VOYTOVICH
VROOMAN
WADHWA
WAHL
WAITZE
WALDSTREICHER
WALKER
WALLER
WALSH
WALTER
WANANU
WANG
WANG
WANG
WARD
WARD
WARNER
WARREN
WASKIEWICZ
WASKO
WASSER
WASSER
WATSKY
WATSON
WATSON
WATSON
WEAVER
WEBB
WEBB
WEI
WEILAND
WEINBERGER
WEINER
WEISS
WEISS
WEISS
WEISS
JORGE
AMY
DENNIS
MATTHEW
ANTHONY
HARMANDEEP
JOHN
MARK
MIRIAM
GERALD
CHRISTOPHER
JASON
JEAN
FRANK
JULIA
LYNDA
CHERYL
REBECCA
ALAN
STUART
MARY
TERRI LEE
MICHELE
DAVID
MOSES
JIPING
LOUIS
RICHARD
JESSICA
SHARI
KAREN
ROBERT
CHERYL
KIM
JARED
TOBIAS
NANCY
ELIZABETH
FREDERICK
MICHELLE
JACQUELINE
JADON
JANET
NANCY
DANIEL
JEFFREY
GAIL
BARRY
DAVID
ERICA
JOSEPH
1962 VANDOLAH ROAD
415 HIGHLAND AVE STE 3
326 WASHINGTON AVE
69 SHERMAN STREET
226 WHITE ST
20 YORK STREET
85 SEYMOUR STREET
6 GREENWICH OFFICE PARK
950 CAMPBELL AVENUE - 116A9
CHILDREN'S & WOMAN'S PHYSICI
1 RIVER STREET
400 CAPITAL BLVD
30 SHELBURNE RD
550 FIRST AVE
173 EAST AVENUE
450 BROOKLINE AVENUE
650 CHASE PARKWAY
CONNECTICUT VALLEY HOSPITAL
500 CHASE PARKWAY
30 SHELBURNE RD
2260 NORTH AVENUE
34 PARK STREET
450 BROOKLINE AVENUE
17 BISHOP ST
24 HOSPITAL AVE
450 BROOKLINE AVENUE, LW205
80 SOUTH MAIN STREET
800 CROSS RIVER ROAD
20 YORK STREET, CB-2041
75 SEMINARY HILL RD
85 CHURCH ST
990 BROOKLAWN AVE
131 ENGLEWOOD DRIVE
140 WILLOW STREET SUITE 2
24 HOSPITAL AVE
ST VINCENT''S MULTISPECIALTY G
34 PARK ST
20 YORK STREET, CB-2041
500 CHASE PARKWAY
30 SHELBURNE RD
2215 BURDETT AVE
230 S FRONTAGE RD
455 CHASE PARKWAY
50 STANIFORD ST
888 WHITE PLAINS RD
25 MILTIADES AVE
8 WEST END AVENUE
60 WASHINGTON AVE
800 CROSS RIVER ROAD
291 WHITNEY AVE, SUITE 404
241 WEST MAIN
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
SECTION OF GERIATRICS
SUITE 1003
PSYCH PRIMARY CARE (PPCC)
4C MEDICAL PARK DRIVE
THUNDERMIST HEALTH CENTER
3RD FLOOR
TH 1803
NEW CANAAN INTERNAL MED LLC
DANA-FARBER CANCER INSTITUTE
BOX 351 - 1000 SILVER STREET
DANA-FARBER CANCER INSTITUTE
DANA-FARBER CANCER INSTITUTE
SUITE 102
SUITE 600
47 LONG LOTS RD
3RD FLOOR
3RD FLOOR
# 207
Page 51 of 54
City
State Zip Code
Phone Number
WAUCHULA
CHESHIRE
NORWICH
FAIRFIELD
DANBURY
NEW HAVEN
HARTFORD
GREENWICH
WEST HAVEN
POMONA
WAKEFIELD
ROCKY HILL
STAMFORD
NEW YORK
NEW CANNAN
BOSTON
WATERBURY
MIDDLETOWN
WATERBURY
STAMFORD
BRIDGEPORT
NEW HAVEN
BOSTON
PORTLAND
DANBURY
BOSTON
MIDDLETOWN
KATONAH
NEW HAVEN
CARMEL
MIDDLETOWN
BRIDGEPORT
ORANGE
WINSTED
DANBURY
WESTPORT
NEW HAVEN
NEW HAVEN
WATERBURY
STAMFORD
TROY
NEW HAVEN
WATERBURY
BOSTON
TRUMBULL
RIVERSIDE
OLD GREENWAICH
HAMDEN
KATONAH
NEW HAVEN
NEW BRITAIN
FL
CT
CT
CT
CT
CT
CT
CT
CT
NY
RI
CT
CT
NY
CT
MA
CT
CT
CT
CT
CT
CT
MA
ME
CT
MA
CT
NY
CT
NY
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
NY
CT
CT
MA
CT
CT
CT
CT
NY
CT
CT
863-767-4484
203-272-9694
860-889-8331
203-255-0468
203-797-1500
203-789-3034
860-246-4260
203-869-1145
203-932-5711
914-922-2241
401-767-4100
860-221-0797
203-276-7058
347-387-7230
203-972-4240
617-632-5917
203-597-8878
860-262-5868
203-755-6677
203-276-7058
203-853-2732
203-974-7016
617-632-5917
207-871-1200
203-739-8105
617-632-5917
860-344-1401
914-763-8151
203-688-1734
845-225-3400
860-347-5333
203-335-6471
203-988-7895
860-379-4809
203-739-8105
203-341-5832
203-974-7300
203-688-1734
203-755-6677
203-276-7058
518-271-3450
203-785-2516
203-578-3940
617-726-8722
203-268-2882
203-637-0072
203-637-3212
203-288-5916
914-763-8151
203-376-1165
860-222-2222
33873-1348
06410-2557
06360-2740
06824-5821
06810-6814
06510-3220
06106-5529
06831-5100
06516-2770
10970-3516
02879-3214
06067-3576
06902-3628
10016-6403
06840-5695
02215-5418
06708-3046
06457-7023
06708-3346
06904-9317
06604-2413
06519-1109
02215-5418
04103-2659
06810-6099
02215-5418
06457-3648
10536-0800
06510-3220
10512-1921
06457-3647
06604-1205
06477-2434
06098-2092
06810-6099
06880-3828
06519-1109
06510-3220
06708-3346
06902-3628
12180-2466
06520-0652
06708-2613
02114-2517
06611-4552
06878-2007
06870-1642
06518-3273
10536-0800
06511-3765
06052-1052
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
Service Address Line 2
City
State Zip Code
Phone Number
1417949702
1376720169
1033209804
1871511725
1700876000
1174741656
1508887290
1720061906
1619967817
1235139684
1578713426
1053393496
1851461214
1760435978
1487642005
1487606117
1346431657
1750309308
1043288061
1922074020
1124087903
1942482914
1962409417
1558417576
1265736169
1073589396
1700052446
1043522915
1851380612
1730104050
1821303611
1740257252
1992121420
1780747220
1285632794
1891739900
1902897911
1629141353
1043537624
1265759831
1922186840
1245206556
1124199864
1346355989
1851474068
1639255094
1376551051
1457347783
1184795759
1194759597
1588644033
WEISS
WEISS
WEISSMAN
WELBY
WELCH
WELCH
WELLNER
WELSCH
WELT
WELTER
WELZBACHER
WEN
WENICK
WERDMANN
WEREMCHUK
WEST
WESTPHAL
WEXLER
WHITMAN
WICHMAN
WICHMANN
WIDDERICK
WILCHINSKY
WILCOX
WILKINSON
WILLIAMS
WILLIAMS
WILLIAMS
WILLIAMS
WILLIAMS
WILSON
WILSON
WILSON
WILSON
WILSON
WILSON
WINICKOFF
WINKLER
WINKLER
WINKLER
WINTERS
WINTHER
WISNIEWSKI
WITTENBERG
WOJCIK
WOLF
WOLFE
WOLFE
WOLFSON
WOLFSON
WOLMER
ROBERT
SCOTT
EVAN
MELISSA
HEIDI
JENNIFER
MURRAY
ROBERT
CORRINE
JOHN
KATY
PATRICK
GARY
MICHAEL
MAR
JOHN
ALEXANDER
BRUCE
GAIL
KENNETH
EUGEN
SHANNON
MARK
GREGG
SAMUEL
CARLA
ELIZABETH
RORY
WENDOL
WILLIAM
BONNIE
JEANNE
JULIET
KENNETH
MARK
PAMELA
RICHARD
ALAN
JASON
SETH
THOMAS
LYNN
NICK
ALISON
JOHN
LINDA
ANDREW
DEREK
ELLEN
VICTORIA
MARK
CHILDREN'S & WOMAN'S PHYSICI
800 POST RD
CHILDREN''S & WOMAN''S PHYSICI
99 CHERRY ST UNIT D
450 CLINTON STREET
593 EDDY STREET
10 DALE STREET
324 FLANDERS RD
55 FRUIT ST
CHILDREN'S & WOMAN'S PHYSICI
455 TOLLGATE ROAD
450 BROOKLINE AVE DA2108A
2050 ROUTE 22
267 GRANT ST
210 NEW LONDON TPKE
34 WATER STREET
34 PARK STREET
34 PARK STREET
2890 MAIN STREET
117 E. CENTER ST
55 WHITING ST.
395 PLEASANT ST
888 WHITE PLAINS RD
23 WAUREGAN ROAD
189 STORRS ROAD
159 WEST PUTNAM AVENUE
55 FRUIT ST
4600 MAIN STREET
CONNECTICUT VALLEY HOSPITAL
40 WRIGHT ST
189 STORRS RD
CHILDREN''S & WOMAN''S PHYSICI
725 NORTH STREET
45 READE PLACE
330 WEST 58TH STREET
100 SOUTH STREET
165 CAMBRIDGE ST
CHILDREN''S & WOMENS PHYSICIAN
CHILDREN''S & WOMENS PHYSICIAN
CHILDREN''S & WOMENS PHYSICIAN
1385 HANCOCK ST
CONNECTICUT VALLEY HOSPITAL
163 BROADWAY
60 WASHINGTON AVE
3300 MAIN STREET, 3RD FL C&D
1635 CENTRAL AVENUE
1351 WASHINGTON BLVD
BREWSTER
35 RIVER ROAD
637 WASHINGTON ST
62 NORTH ST
19 BRADHURST AVE. STE 1400
HAWTHORNE
DARIEN
POMONA
MILFORD
WOONSOCKET
PROVIDENCE
WEST HARTFORD
EAST LYME
BOSTON
HAWTHORNE
WARWICK
BOSTON
BREWSTER
BRIDGEPORT
GLASTONBURY
MYSTIC
NEW HAVEN
NEW HAVEN
STRATFORD
MANCHESTER
PLAINVILLE
NORTHHAMPTON
TRUMBULL
BROOKLYN
MANSFIELD
GREENWICH
BOSTON
BRIDGEPORT
MIDDLETOWN
PALMER
MANSFIELD
HAWTHORNE
PITTSFIELD
POUGHKEEPSIE
NEW YORK
SOUTHBRIDGE
BOSTON
SCARSDALE
SCARSDALE
SCARSDALE
QUINCY
MIDDLETOWN
COLCHESTER
HAMDEN
SPRINGFIELD
BRIDGEPORT
STAMFORD
BRISTOL
COS COB
DORCHESTER
DANBURY
NY
CT
NY
CT
RI
RI
CT
CT
MA
NY
RI
MA
NY
CT
CT
CT
CT
CT
CT
CT
CT
MA
CT
CT
CT
CT
MA
CT
CT
MA
CT
NY
MA
NY
NY
MA
MA
NY
NY
NY
MA
CT
CT
CT
MA
CT
CT
CT
CT
MA
CT
914-922-2241
203-656-1696
914-922-2241
203-906-6294
401-767-4100
401-444-8219
860-521-9451
860-739-6953
617-726-8433
914-922-2241
401-737-7000
617-632-3965
914-242-5621
203-688-2046
860-633-1543
860-572-9994
203-974-7016
203-974-7016
203-375-8200
860-649-3338
860-747-5529
413-584-2571
203-268-2882
860-774-0876
860-456-1311
203-869-7080
617-726-3030
203-371-4445
860-262-5868
978-466-2994
860-456-1311
914-922-2241
413-447-2752
845-483-6654
917-441-2344
508-765-9700
617-726-4900
914-725-5252
914-725-5252
914-725-5252
617-770-7882
860-262-5868
860-537-2020
203-407-6444
413-794-7033
203-551-7464
203-327-5808
440-627-2625
203-625-0333
617-825-9669
203-792-2020
HUSKY Health Connecticut / Charter Oak Health Plan
4C MEDICAL PARK DRIVE
THUNDERMIST - CREDENTIALING
BHX 511
19 BRADHURST AVE. STE 1400
SUITE 2
SUITE C
SUITE 2C
GRB 444
ST.VINCENT''S URGENT CARE
BOX 351 - 1000 SILVER STREET
WING EMERGENCY SERVICES, PC
NATCHAUG HOSPITAL
19 BRADHURST AVE. STE 2400
SUITE 313
SUITE 207
STE 501
688 WHITE PLAINS RD
688 WHITE PLAINS RD
688 WHITE PLAINS ROAD
1000 SILVER STREET
SUITE 102
SUITE 101
Page 52 of 54
10532-2140
06820-4622
10970-3516
06460-3455
02895-3207
02903-4923
06107-1815
06333-1735
02114-2696
10532-2140
02886-2759
02215-5450
10509-5948
06610-0120
06033-2906
06355-2524
06519-1109
06519-1109
06614-4980
06040-5246
06062-2262
01060-3914
06611-4552
06234-1924
06250-1683
06830-5329
02114-2696
06606-1839
06457-7023
01069-1138
06250-1683
10532-2144
01201-4019
12601-5144
10019-1821
01550-4051
02114-2723
10583-5059
10583-5059
10583-5059
02169-5103
06457-7023
06415-1022
06518-3271
01199-1619
06610-2717
06902-2419
06011-0977
06807-2716
02122-1802
06810-5620
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
1922434935
1912994666
1447256144
1710157318
1225019342
1154477388
1437225695
1346575438
1952733131
1619956984
1023310158
1447415039
1457477853
1588769038
1386658219
1316083058
1124199708
1275523359
1447209895
1699814715
1992841167
1104915487
1063511210
1972654226
1033260385
1346289790
1669640934
1447403522
1427144625
1891936365
1063590826
1134356868
1295754133
1710908306
1134386014
1265669600
1679798482
1366756819
1477652311
1932499092
1558362525
1659329589
1164555132
1114039229
1437103611
1962455311
1821263328
1437149226
1508014721
1750383402
1346209459
WONG
WONG
WONG
WONG
WONG
WOODS
WOODWARD
WORLEY
WOTHERSPOON
WOZNIAK
WRIGHT
WRIGTH
WU
WU
WUDARSKY
WURZEL
WYNN
XAVIER
XIONG
XISTRIS
XU
YAGHOUBIAN
YALE
YARMOSKY
YARMOSKY
YAYLAGUL
YOO
YOO
YOUNG
YOUNG
YU
YU
YUAN
YUN
YURGELUN
YUSHAK
ZABBO
ZAIDI
ZAIN
ZAKKO
ZAMANSKY
ZANELLA
ZANGER
ZAPATKA
ZBAN
ZELMAN
ZEMAITIS
ZEROOGIAN
ZHELTKOV
ZIA
ZIEGLER
ADLEY
JAMES
JANET
KELLY
WAICHI
SCOTT
JANET
MAUREEN
KATHRYN
JANET
CARSON
DEBORRAH
JOHNNY
SHARON
MARIANNE
CAROL
PE
RAMNIK
YUTING
DEANNA
WEI
ROBERT
ABRAHAM
LOUIS
STEVEN
JOHN
MICHAEL
MONN-HEE
JAMES
PENNY
IRENE
YEN-HUA
STEPHEN
RICHARD
MATTHEW
MELINDA
CHRISTOPHER
SYED
MONA
LIAM
MARSHALL
STEPHEN
BRETT
SUSAN
WILLIAM
ARTHUR
INES
JOHN
VLADIMIR
MUHAMMAD
JAMES
20 YORK STREET, CB-2041
102 EAST AVE
357 HARTFORD TURNPIKE
4201 HENRY AVENUE
622 WEST 168TH STREET
34 PARK ST
WILLOWS PEDIATRICS
263 FARMINGTON AVENUE
263 FARMINGTON AVENUE
55 FRUIT ST
50 GILLETT ST
1515 ALLEN STREET
263 FARMINGTON AVENUE
CHILDREN'S & WOMAN'S PHYSICI
915 RIVER ROAD
CHILDREN'S & WOMAN'S PHYSICI
800 CROSS RIVER ROAD
55 FRUIT ST
970 SUMMER STREET, FLOOR 2
30 SHELBURNE RD
100 WELLS STREET
226 WHITE ST
1881 POST RD
100 MAPLE AVE
100 MAPLE AVE
263 FARMINGTON AVENUE
20 YORK STREET, CB-2041
CAPITOL REGION MENTAL HEALTH C
MSKCC 1275 YORK AVENUE
770 SAYBROOK RD
26 BURLING LANE
435 LEWIS AVE
162 MOUNTAIN ROAD
400 PROSPECT STREET
450 BROOKLINE AVENUE, LW205
20 YORK ST
455 TOLLGATE ROAD
201 WEST MAIN STREET
950 CAMPBELL AVENUE
874 HOWARD AVENUE
475 PLEASANT STREET
111 FRANKLIN HEALTH COMMONS
714 CHASE PARKWAY
950 CAMPBELL AVENUE
1900 RANDOLPH ROAD
101 ROCKLAND AVE
1389 WEST MAIN ST
2150 MAIN STREET
10 TALCOTT NOTCH ROAD
CHILDREN'S & WOMAN'S PHYSICI
593 EDDY STREET
HUSKY Health Connecticut / Charter Oak Health Plan
Service Address Line 2
PH4 ROOM 476
1563 POST ROAD EAST
JOHN DEMPSEY HOSPITAL
EMERGENCY MEDICINE
YAWKEY 6A
SUITE B
UCHC-CMHC
45 READE PL
222 WESTCHESTER AVE. STE 202
BLK 4
SUITE 1B
SUITE 2
SUITE 2
EMERGENCY MEDICINE
500 VINE STREET
2ND FLOOR
DANA-FARBER CANCER INSTITUTE
TOMPKINS, 209
YNH GERIATRIC SERVICES
SUITE 2A
SUITE 900
STE 224
1980 CROMPOND RD
Page 53 of 54
City
State Zip Code
Phone Number
NEW HAVEN
NORWALK
VERNON
PHILADELPHIA
NEW YORK
NEW HAVEN
WESTPORT
FARMINGTON
FARMINGTON
BOSTON
HARTFORD
SPRINGFIELD
FARMINGTON AVENUE
POUGHKEEPSIE
MIDDLETOWN
WHITE PLAINS
KATONAH
BOSTON
STAMFORD
STAMFORD
HARTFORD
DANBURY
FAIRFIELD
GREAT BARRINGTON
GREAT BARRINGTON
FARMINGTON
NEW HAVEN
HARTFORD
NEW YORK
MIDDLETOWN
NEW ROCHELL
MERIDEN
SUFFIELD
NEW HAVEN
BOSTON
NEW HAVEN
WARWICK
NIANTIC
WEST HAVEN
NEW HAVEN
WORCESTER
FARMINGTON
WATERBURY
WEST HAVEN
CHARLOTTE
MAMARONECK
WATERBURY
SPRINGFIELD
FARMINGTON
CORTLANDT MANOR
PROVIDENCE
CT
CT
CT
PA
NY
CT
CT
CT
CT
MA
CT
MA
CT
NY
CT
NY
NY
MA
CT
CT
CT
CT
CT
MA
MA
CT
CT
CT
NY
CT
NY
CT
CT
CT
MA
CT
RI
CT
CT
CT
MA
ME
CT
CT
NC
NY
CT
MA
CT
NY
RI
203-688-1734
203-838-4119
860-871-9441
215-951-2985
212-305-5020
203-974-7300
203-319-3939
860-679-4636
860-679-4636
617-726-2726
860-922-8707
413-782-7646
860-679-5500
914-922-2241
820-704-4272
914-922-2241
914-763-8151
617-724-6007
203-324-2128
203-276-7058
860-249-4466
203-797-1500
203-255-1036
413-499-4850
413-499-4850
860-679-4636
203-688-1734
860-297-0999
646-227-3813
860-347-2776
914-235-1888
330-493-4443
860-668-1211
203-909-6370
617-632-5917
203-688-9503
401-737-7000
860-451-3078
203-932-5711
203-688-8200
508-791-6305
800-432-4334
203-757-1455
203-932-5711
704-377-2424
914-698-3210
203-597-0393
860-741-6572
860-679-5460
914-922-2241
401-793-8830
06510-3220
06851-5010
06066-4800
19144-5409
10032-3270
06519-1109
06880-5602
06030-1000
06030-1930
02114-2621
06105-2108
01118-1803
06030-5386
12601-3947
06457-4402
10604-2926
10536-0800
02114-2696
06905-5518
06902-2638
06103-2920
06810-6814
06824-5721
01230-1963
01230-1963
06030-1930
06510-3220
06112-1639
10065-9321
06457-4739
10801-5626
06451-2101
06078-2091
06511-2181
02215-5418
06510-3220
02886-2759
06357-1014
06516-2770
06519-1106
01609-1858
04938-6144
06708-3012
06516-2770
28207-1117
10543-3307
06708-3104
01104-3300
06030-6410
10567-4144
02903-4923
2/5/2015 6:15 AM
OPR Provider Listing (Ordering/Prescribing/Referring)
NPI
Last Name
First Name
Service Address Line 1
Service Address Line 2
City
State Zip Code
Phone Number
1912117714
1730269317
1821229543
1891943262
1396839759
1407017932
1023240512
1437141363
1225059116
1932292752
ZIGUN
ZILAHY
ZINGALES-BROWNE
ZIVANOVIC
ZONANA
ZUBER
ZUCKER
ZUMPANO
ZWAS
ZWEIG
JENNIFER
PETER
ROBIN
OLIVER
HOWARD
NICOLE
AMANDA
JAMES
FELICE
ELLIOT
VA CT HEALTHCARE SYSTEM
35 CANDEE HILL RD
263 FARMINGTON AVE
1275 YORK AVE
34 PARK STREET
64 ROBBINS STREET
114 WOODLAND STREET
144 NORTH MAIN STREET
500 WEST PUTNAM AVE
41 NORTH MAIN STREET
555 WILLARD AVE.
NEWINGTON
WATERTOWN
FARMINGTON
NEW YORK
NEW HAVEN
WATERBURY
HARTFORD
BRANFORD
GREENWICH
WEST HARTFORD
CT
CT
CT
NY
CT
CT
CT
CT
CT
CT
860-667-6763
860-274-9641
860-679-4441
646-227-3813
203-974-7016
203-573-6056
860-714-7401
203-488-7339
203-863-2908
860-561-0580
HUSKY Health Connecticut / Charter Oak Health Plan
MC 6204
ST FRANCIS HOSPITAL & MED CTR
SUITE 100
Page 54 of 54
06111-2631
06795-3101
06030-6204
10065-6007
06519-1109
06708-2613
06105-1208
06405-3044
06830-6086
06107-1972
2/5/2015 6:15 AM