Active NPIIndividual provider

Mr. Domenic Roy, APRN

Nurse Practitioner, Critical Care Medicine in Farmington, Connecticut

NPI Number1790405553
Practice location
263 Farmington Ave, Farmington, CT 06030-0002
Fax
—
Last updated
August 31, 2022

Domenic Roy is a Nurse Practitioner, Critical Care Medicine based in Farmington, CT. Domenic Roy practices in Farmington, CT and has the professional credentials of APRN. The NPI Number for Domenic Roy is 1790405553 and holds a License No. 10914 (CT). The current practice location address for Domenic Roy is 263 Farmington Ave, Farmington, CT 06030-0002 and can be reached out via phone at 860-679-4450.

Provider Profile Details

NPI Number
1790405553
Provider Name
Domenic Roy
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
263 Farmington Ave, Farmington, CT 06030-0002
Phone Number
860-679-4450
Primary Taxonomy
Nurse Practitioner, Critical Care Medicine · 363LC0200X
Sole Proprietor
No
Provider Enumeration Date
August 31, 2022
Last Update Date
August 31, 2022
Certification Date
July 12, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
263 Farmington Ave
Farmington, CT 06030-0002
Zip
06030-0002
Phone Number
860-679-4450
Farmington, CT 06030Get directions →

Provider Business Mailing Address Details

Address
145 Morton RD
Waterbury, CT 06705-3054
City
Waterbury
State
CT
Zip
06705-3054
Phone Number
203-465-9215

License Information

License Number
10914
License State
CT
Taxonomy
Nurse Practitioner, Critical Care Medicine · 363LC0200X · 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 Mr. Domenic Roy, APRN?

The NPI number of Mr. Domenic Roy, APRN is 1790405553. It was assigned on August 31, 2022 and is currently active in the NPPES registry.

What is the specialty of Mr. Domenic Roy, APRN?

Mr. Domenic Roy, APRN is registered under the primary taxonomy Nurse Practitioner, Critical Care Medicine (code 363LC0200X), licensed in CT under license number 10914.

Where does Mr. Domenic Roy, APRN practice?

The practice location is 263 Farmington Ave, Farmington, CT 06030-0002. The office can be reached at 860-679-4450 (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 1790405553 directly on the NPPES registry website.

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