AIMEE J CRISCUOLO BECK P.A. NPI 1124122650

NPI Information

NPI: 1124122650
Provider Name: AIMEE J CRISCUOLO BECK, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC

PECOS Registration: Yes

Address:
481 GOLD STAR HWY STE 100
GROTON, CT
ZIP 06340
Phone: (860) 446-8858
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Aimee J Criscuolo Beck, P.A. is a medical physician assistant in Groton, CT with 25 years of experience. Aimee J Criscuolo Beck, P.A. NPI is 1124122650. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

481 GOLD STAR HWY STE 100
GROTON, CT
ZIP 06340-702
Phone: (860) 446-8858
Fax: (860) 405-2140

The NPI 1124122650 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 11/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	000925	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	290000925CT01	OTHER	CONNECTICUT	ANTHEM BC/BS
2	000925	OTHER	CONNECTICUT	CONNECTICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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