Faisal Ijaz, NURSE PRACTITIONER
Nurse Practitioner, Family in East Hartford, Connecticut
1336573146- Practice location
- 580 Burnside Ave, East Hartford, CT 06108-3579
- Phone
- 860-528-5068
- Fax
- 860-528-2341
- Last updated
- September 17, 2026
Faisal Ijaz is a Nurse Practitioner, Family based in East Hartford, CT. Faisal Ijaz practices in East Hartford, CT and has the professional credentials of NURSE PRACTITIONER. The NPI Number for Faisal Ijaz is 1336573146 and holds a License No. 5497 (CT). The current practice location address for Faisal Ijaz is 580 Burnside Ave, East Hartford, CT 06108-3579 and can be reached out via phone at 860-528-5068 and via fax at 860-528-2341.
Provider Profile Details
- NPI Number
- 1336573146
- Provider Name
- Faisal Ijaz
- Credential
- NURSE PRACTITIONER
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 580 Burnside Ave, East Hartford, CT 06108-3579
- Phone Number
- 860-528-5068
- Fax Number
- 860-528-2341
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 28, 2013
- Last Update Date
- September 17, 2026
- Certification Date
- September 17, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 580 Burnside Ave
East Hartford, CT 06108-3579 - City
- East Hartford
- State
- Connecticut
- Zip
- 06108-3579
- Phone Number
- 860-528-5068
- Fax Number
- 860-528-2341
Provider Business Mailing Address Details
- Address
- 24 Grimes RD
Rocky Hill, CT 06067-2406 - City
- Rocky Hill
- State
- CT
- Zip
- 06067-2406
- Phone Number
- 860-597-1331
License Information
- License Number (1)
- 5497
- License State (1)
- CT
- Taxonomy (1)
- Nurse Practitioner, Family · 363LF0000X · Primary
- License Number (2)
- RN2290444
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Faisal Ijaz, NURSE PRACTITIONER?
The NPI number of Faisal Ijaz, NURSE PRACTITIONER is 1336573146. It was assigned on August 28, 2013 and is currently active in the NPPES registry.
What is the specialty of Faisal Ijaz, NURSE PRACTITIONER?
Faisal Ijaz, NURSE PRACTITIONER is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 5497.
Where does Faisal Ijaz, NURSE PRACTITIONER practice?
The practice location is 580 Burnside Ave, East Hartford, CT 06108-3579. The office can be reached at 860-528-5068 (phone) or 860-528-2341 (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 1336573146 directly on the NPPES registry website.