MS. HEATHER MICHELLE RYNKOWSKI PA-C NPI 1477980480

NPI Information

NPI: 1477980480
Provider Name: MS. HEATHER MICHELLE RYNKOWSKI, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
365 MONTAUK AVE
OFFICE # 3.525
NEW LONDON, CT
ZIP 06357
Phone: (860) 442-0711
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MS. Heather Michelle Rynkowski, PA-C is a surgical physician assistant in New London, CT with 11 years of experience. MS. Heather Michelle Rynkowski, PA-C NPI is 1477980480. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduation Year:2013

The provider's business location address is:

365 MONTAUK AVE
OFFICE # 3.525
NEW LONDON, CT
ZIP 06357
Phone: (860) 442-0711
Fax: (860) 271-4988

The NPI 1477980480 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 10/4/2013 and was last updated on 11/8/2018.

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	363A00000X	Physician Assistant		23.003003	CONNECTICUT	No
2	363AS0400X	Physician Assistant	Surgical	23.003003	CONNECTICUT	No
3	363AS0400X	Physician Assistant	Surgical	00729	RHODE ISLAND	No
4	363AS0400X	Physician Assistant	Surgical	3003	CONNECTICUT	Yes

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: 4/28/2024

NPI Synchronization or Removal

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