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AMELIA VAZQUEZ-VALICEK PA-C
NPI 1417055914
Physician Assistant - Medical in New London, CT

Active since September 20, 2006
365 MONTAUK AVE, NEW LONDON, CT 06320(860) 442-0711(860) 271-4224 Get Directions Write a Review

NPPES record last updated: August 18, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Amelia Vazquez-valicek Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMELIA VAZQUEZ-VALICEK PA-C (NPI 1417055914) is an individual medical provider in New London, Connecticut, licensed in Connecticut (000419) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1417055914
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameAMELIA VAZQUEZ-VALICEKCredential: PA-C
Location Address365 MONTAUK AVENew London, CT 06320-4700
Mailing Address365 Montauk AveNew London, CT 06320-4700 · (860) 442-0711 · Fax (860) 271-4224
Phone(860) 442-0711
Fax(860) 271-4224
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 18, 2016
✔ NPI 1417055914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CT · 000419
Also ListedPhysician AssistantTaxonomy 363A00000X · License 000419 (CT)
365 MONTAUK AVE, New London, CT 06320
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Other Names 1

Former Name (1)Ms. Amelia Kathleen Vazquez Physician Assistant

Other Identifiers 4

Medicaid4014679CT
Other06-0646704Tricare
Medicare UPINP15268
Medicaid4024972CT

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN M PACHECO RN, CDE
Registered Nurse (Diabetes Educator)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-4737
THERESA M. BONANOMI
Social Worker (Clinical)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-5141
AMIT KHANNA MD
Family Medicine (Sleep Medicine)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711
JOANN DONNEL LNM
Advanced Practice Midwife
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711
SAMUEL MARYLES MD
Emergency Medicine
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (330) 493-4443
DR. PAUL CASINELLI M.D
Anesthesiology
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711
MARIAM F. ABOUKAR D.O.
Psychiatry & Neurology (Psychiatry)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711
MR. STEPHEN DANIEL SOCHA FNP-C
Nurse Practitioner (Family)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amelia Vazquez-valicek's NPI number?

The NPI number for Amelia Vazquez-valicek is 1417055914. It was assigned to this individual provider in the NPPES registry on September 20, 2006. The provider is also known as Ms. Amelia Kathleen Vazquez Physician Assistant.

Where is Amelia Vazquez-valicek located?

Amelia Vazquez-valicek practices at 365 Montauk Ave, New London, CT 06320. The listed phone number is (860) 442-0711.

What is Amelia Vazquez-valicek's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Amelia Vazquez-valicek was last updated on August 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.