Aimee J Criscuolo Beck, P.A.
Physician Assistant, Medical in Groton, CT. Individual provider (NPI-1).
NPI number1124122650
StatusActive
Last updated in NPPESNov 4, 2019
Details
- NPI
- 1124122650
- Entity type
- Individual (NPI-1)
- Name
- Aimee J Criscuolo Beck
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2006
- Last updated
- Nov 4, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 000925 | CT | Yes |
Other names
- Aimee Criscuolo (Former Name)
Practice location
481 Gold Star Hwy Ste 100Groton, CT 06340-6702
Phone 860-446-8858 · Fax 860-405-2140
Mailing address
420 Saybrook RdMiddletown, CT 06457-4747
Phone 860-626-2010
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 7 Medical Physician Assistant providers in Groton · All 917 providers in Groton
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