Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Joy Waks, PA

Individual provider Physician Assistant · NPI 1235603259

Kimberly Joy Waks, PA is a Physician Assistant in Bridgeport, Connecticut. Qualified in 2020, 6 years ago. Practices with Hartford Healthcare Medical Group Specialists PLLC, a 1,537-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
6
Licensed in
CT
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2800 Main St
Bridgeport, CT 06606
Phone: (203) 382-2350
Fax: (475) 210-3025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 100 Retreat Ave Ste 900, Hartford, CT 06106-2553 — (860) 218-2245
  • 124 Caledon Ct Apt 12, Stephens City, VA 22655-3547 — (516) 306-2353

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5498 (CT)

Record details

NPI number1235603259
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJanuary 12, 2019
Last updated in NPPESMay 24, 2024
Certification dateMay 19, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Hartford Healthcare Medical Group Specialists Pllc — 1537 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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