MASONICARE PRIMARY CARE PHYSICIANS
NPI 1922084540
Internal Medicine - Geriatric Medicine in Wallingford, CT

Q: What is Masonicare Primary Care Physicians's NPI number?

The NPI number for Masonicare Primary Care Physicians is 1922084540. It was assigned to this organization in the NPPES registry on December 15, 2005.

Q: What is Masonicare Primary Care Physicians's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Active since December 15, 2005

67 MASONIC AVENUE, 1ST FLOOR, WALLINGFORD, CT 06492(203) 265-0355(203) 265-7413 Get Directions Write a Review

NPPES record last updated: January 2, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Masonicare Primary Care Physicians NPPES

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

MASONICARE PRIMARY CARE PHYSICIANS (NPI 1922084540) is a healthcare organization registered as a geriatric medicine in Wallingford, Connecticut and active in the NPI registry since December 2005. The organization lists Alla Bernshteyn, President, as its authorized official.

NPPES Registry Identity

NPI1922084540

Entity TypeOrganization

Primary Taxonomy207RG0300X

Legal Business NameMASONICARE PRIMARY CARE PHYSICIANS

Location Address67 MASONIC AVENUE, 1ST FLOORWallingford, CT 06492

Mailing Address67 Masonic Avenue, 1st FloorWallingford, CT 06492 · (203) 265-0355 · Fax (203) 265-7413

Phone(203) 265-0355

Fax(203) 265-7413

Organization SubpartNo

Authorized OfficialAlla BernshteynPresident · (203) 265-0355

Enumeration DateDecember 15, 2005

Last NPPES UpdateJanuary 2, 2008

✔ NPI 1922084540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

67 MASONIC AVENUE, Wallingford, CT 06492

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Other Identifiers 2

Medicaid004178605CT

Medicare ID-Type UnspecifiedC02238CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Masonicare Primary Care Physicians's NPI number?

The NPI number for Masonicare Primary Care Physicians is 1922084540. It was assigned to this organization in the NPPES registry on December 15, 2005.

Where is Masonicare Primary Care Physicians located?

Masonicare Primary Care Physicians is located at 67 Masonic Avenue 1st Floor, Wallingford, CT 06492. The listed phone number is (203) 265-0355.

What is Masonicare Primary Care Physicians's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Masonicare Primary Care Physicians was last updated on January 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.