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TARA BRESLIN PAC NPI 1710093869


NPI Information

NPI: 1710093869
Provider Name: TARA BRESLIN, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
490 BLUE HILLS AVENUE
MT.SINAI REHABILITATION HOSPITAL/ PHYSICIAN SUITE
HARTFORD, CT
ZIP 06112
Phone: (860) 714-2647
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Tara Breslin, PAC is a medical physician assistant in Hartford, CT with 38 years of experience. Tara Breslin, PAC NPI is 1710093869. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

490 BLUE HILLS AVENUE
MT.SINAI REHABILITATION HOSPITAL/ PHYSICIAN SUITE
HARTFORD, CT
ZIP 06112-088
Phone: (860) 714-2647
Fax: (860) 714-8519

The NPI 1710093869 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Automated urinalysis test (HCPCS:81003)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)

The enumeration date for this NPI number is 8/22/2006 and was last updated on 9/17/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantNo
2363AM0700XPhysician AssistantMedical000593CONNECTICUTYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10005930121OTHERCONNECTICUTCONNECTICARE
2290000593CT03OTHERCONNECTICUTBLUE CROSS BLUE SHIELD

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.