Active NPIIndividual provider

Balamurugan Ponnuraj, MSN, FNP-BC

Nurse Practitioner, Family in Bridgeport, Connecticut

NPI Number1639823123
Practice location
968 Fairfield Ave, Bridgeport, CT 06605-1116
Fax
—
Last updated
February 4, 2022

Balamurugan Ponnuraj is a Nurse Practitioner, Family based in Bridgeport, CT. Balamurugan Ponnuraj practices in Bridgeport, CT and has the professional credentials of MSN, FNP-BC. The NPI Number for Balamurugan Ponnuraj is 1639823123 and holds a License No. 9832 (CT). The current practice location address for Balamurugan Ponnuraj is 968 Fairfield Ave, Bridgeport, CT 06605-1116 and can be reached out via phone at 203-330-6000.

Provider Profile Details

NPI Number
1639823123
Provider Name
Balamurugan Ponnuraj
Credential
MSN, FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
968 Fairfield Ave, Bridgeport, CT 06605-1116
Phone Number
203-330-6000
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
February 4, 2022
Last Update Date
February 4, 2022
Certification Date
February 4, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
968 Fairfield Ave
Bridgeport, CT 06605-1116
Zip
06605-1116
Phone Number
203-330-6000
Bridgeport, CT 06605Get directions →

Provider Business Mailing Address Details

Address
46 Albion St
Bridgeport, CT 06605-2602
City
Bridgeport
State
CT
Zip
06605-2602
Phone Number
203-330-6000

License Information

License Number
9832
License State
CT
Taxonomy
Nurse Practitioner, Family · 363LF0000X · 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 Balamurugan Ponnuraj, MSN, FNP-BC?

The NPI number of Balamurugan Ponnuraj, MSN, FNP-BC is 1639823123. It was assigned on February 4, 2022 and is currently active in the NPPES registry.

What is the specialty of Balamurugan Ponnuraj, MSN, FNP-BC?

Balamurugan Ponnuraj, MSN, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 9832.

Where does Balamurugan Ponnuraj, MSN, FNP-BC practice?

The practice location is 968 Fairfield Ave, Bridgeport, CT 06605-1116. The office can be reached at 203-330-6000 (phone).

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 1639823123 directly on the NPPES registry website.

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