Organization Active NPI

My Health 1St Urgent Care LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Milford, CT
National Provider Identifier
1013270289
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
049851 Issued in CT
Legal business name
MY HEALTH 1ST URGENT CARE LLC
Practice address
470 Bridgeport Ave # J
Milford, CT 06460-4167
Phone
(203) 693-3676
Fax
(203) 876-9334
NPI assigned
Jun 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Awais Malik, MD
Title
Member
Phone
(203) 243-6018

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207PE0004X 049851 CT Primary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 049851 CT
Health Maintenance Organization 302R00000X

Addresses

Primary practice location

470 Bridgeport Ave # J
Milford, CT 06460-4167

Mailing address

470 Bridgeport Ave # J
Milford, CT 06460-4167
Phone (203) 693-3676

National Provider Directory

National Provider Directory

Locations

158 Main St
Ansonia, CT 06401
Phone (203) 735-8783

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7594/brand/1/csg/1/fhir/r4

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1013270289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 BRIDGEPORT AVE # J",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604167",
            "telephone_number": "203-693-3676",
            "fax_number": "203-876-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 BRIDGEPORT AVE # J",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604167",
            "telephone_number": "203-693-3676",
            "fax_number": "203-876-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY HEALTH 1ST URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "AWAIS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-243-6018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CT",
            "license": "049851",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "049851",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.