Active NPIIndividual providerSole proprietor

Ms. Suzzunne N Decruz, PA-C

Physician Assistant in Orange, Connecticut

NPI Number1033312244
Practice location
235 Boston Post RD Ste 202, Orange, CT 06477-3229
Fax
203-799-3252
Last updated
April 11, 2025

Suzzunne Nicole Decruz is a Physician Assistant based in Orange, CT. Suzzunne Nicole Decruz practices in Orange, CT and has the professional credentials of PA-C. The NPI Number for Suzzunne Nicole Decruz is 1033312244 and holds a License No. 001433 (CT). The current practice location address for Suzzunne Nicole Decruz is 235 Boston Post RD Ste 202, Orange, CT 06477-3229 and can be reached out via phone at 203-799-1252 and via fax at 203-799-3252.

Provider Profile Details

NPI Number
1033312244
Provider Name
Suzzunne Nicole Decruz
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
235 Boston Post RD Ste 202, Orange, CT 06477-3229
Phone Number
203-799-1252
Fax Number
203-799-3252
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 6, 2007
Last Update Date
April 11, 2025
Certification Date
April 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
235 Boston Post RD Ste 202
Orange, CT 06477-3229
City
Orange
Zip
06477-3229
Phone Number
203-799-1252
Fax Number
203-799-3252
Orange, CT 06477Get directions →

Provider Business Mailing Address Details

Address
235 Boston Post RD Ste 202
Orange, CT 06477-3229
City
Orange
State
CT
Zip
06477-3229
Phone Number
203-799-1252
Fax Number
203-799-3252

License Information

License Number (1)
001433
License State (1)
CT
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
001433
License State (2)
CT
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Suzzunne N Decruz, PA-C?

The NPI number of Ms. Suzzunne N Decruz, PA-C is 1033312244. It was assigned on June 6, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Suzzunne N Decruz, PA-C?

Ms. Suzzunne N Decruz, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 001433.

Where does Ms. Suzzunne N Decruz, PA-C practice?

The practice location is 235 Boston Post RD Ste 202, Orange, CT 06477-3229. The office can be reached at 203-799-1252 (phone) or 203-799-3252 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033312244 directly on the NPPES registry website.

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