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

Wayne Perosky, PA

Individual provider Surgical Physician Assistant · NPI 1619979218

Wayne Perosky, PA is a Physician Assistant in Hartford, Connecticut. Qualified in 2002, 24 years ago. Practices with Trinity Health of New England Provider Network Organization Inc, a 635-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
24
Licensed in
CT
In the registry since
2005
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

114 Woodland St Dept OF Surgery
Hartford, CT 06105-1208
Phone: (860) 714-4694
Fax: (860) 714-8096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 001210 (CT)

Record details

NPI number1619979218
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 12, 2005
Last updated in NPPESJune 17, 2021
Certification dateJune 17, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Trinity Health Of New England Provider Network Organization Inc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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