Physician Compare National (NPI:1538540257)

HEALTHCARE PROVIDER: CARMELA LUZI P.A.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1538540257
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0941515035
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150819006559
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LUZI
	Individual professional last name
Provider First Name	CARMELA
	Individual professional first name
Provider Middle Name	JEANINE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2015
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	DERMATOLOGY ASSOCIATES OF WESTERN CONNECTICUT, PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	6507804671
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	8
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	170 MOUNT PLEASANT RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 201
	Group Practice or individual's line 2 address
City	NEWTOWN
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	064701408
	Group Practice or individual's zip code (9 digits when available)
Phone Number	20379241512113
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y