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EMIL OCCHIBOI PA-C ATC NPI 1003206434

NPI Profile

NPI: 1003206434
Provider Name: EMIL OCCHIBOI, PA-C, ATC
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: PRIVATE DIAGNOSTIC CLINIC PLLC

PECOS Registration: Yes

Address:
82 NEW PARK AVE
NORTH FRANKLIN, CT
ZIP 06254
Get Directions

Phone: (860) 889-7345

Emil Occhiboi, PA-C, ATC is a surgical physician assistant in North Franklin, CT with 2 years of experience. Emil Occhiboi, PA-C, ATC NPI is 1003206434. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

82 NEW PARK AVE
NORTH FRANKLIN, CT
ZIP 06254-807
Phone: (860) 889-7345

The NPI 1003206434 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, Power Mobility Devices.

The enumeration date for this NPI number is 1/22/2015 and was last updated on 12/16/2019.

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
12255A2300XSpecialist/TechnologistAthletic Trainer000907CONNECTICUTNo
2363A00000XPhysician Assistant0010-08548NORTH CAROLINANo
3363AS0400XPhysician AssistantSurgical23.004688CONNECTICUTYes

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
1NN5848AMEDICAIDNORTH CAROLINA

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: 5/30/2020

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.