Active NPIIndividual provider

Mary J Elliott, PA-C

Physician Assistant in Guilford, Connecticut

NPI Number1710594403
Practice location
47 Clapboard Hill RD., Ste 2, Guilford, CT 06437
Fax
203-533-7161
Last updated
June 19, 2025

Mary Josephine Elliott is a Physician Assistant based in Guilford, CT. Mary Josephine Elliott practices in Guilford, CT and has the professional credentials of PA-C. The NPI Number for Mary Josephine Elliott is 1710594403 and holds a License No. 5268 (CT). The current practice location address for Mary Josephine Elliott is 47 Clapboard Hill RD., Ste 2, Guilford, CT 06437 and can be reached out via phone at 203-533-7159 and via fax at 203-533-7161.

Provider Profile Details

NPI Number
1710594403
Provider Name
Mary Josephine Elliott
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
47 Clapboard Hill RD., Ste 2, Guilford, CT 06437
Phone Number
203-533-7159
Fax Number
203-533-7161
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
September 26, 2020
Last Update Date
June 19, 2025
Certification Date
July 30, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
47 Clapboard Hill RD.
Ste 2
Guilford, CT 06437
Zip
06437
Phone Number
203-533-7159
Fax Number
203-533-7161
Guilford, CT 06437Get directions →

Provider Business Mailing Address Details

Address
47 Clapboard Hill RD.
Ste 2
Guilford, CT 06437
City
Guilford
State
CT
Zip
06437
Phone Number
203-789-2255
Fax Number
203-495-1888

License Information

Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
5268
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 Mary J Elliott, PA-C?

The NPI number of Mary J Elliott, PA-C is 1710594403. It was assigned on September 26, 2020 and is currently active in the NPPES registry.

What is the specialty of Mary J Elliott, PA-C?

Mary J Elliott, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 5268.

Where does Mary J Elliott, PA-C practice?

The practice location is 47 Clapboard Hill RD., Ste 2, Guilford, CT 06437. The office can be reached at 203-533-7159 (phone) or 203-533-7161 (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 1710594403 directly on the NPPES registry website.

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