NPIMap

Organization Active NPI

Alkeylani Cardiology and Family Care, LLC

  • Cardiovascular Disease Physician
  • Mansfield Ctr, CT
National Provider Identifier
1083857056
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
035596 Issued in CT
Legal business name
ALKEYLANI CARDIOLOGY AND FAMILY CARE, LLC
Practice address
3 Boulder LN
Mansfield Ctr, CT 06250-1105
Phone
(860) 429-2077
Fax
(860) 429-2077
NPI assigned
Apr 7, 2009
Last updated
Apr 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Authorized official

Name
Abd U Alkeylani, MD
Title
Owner
Phone
(860) 129-2077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 035596 CT Primary

Addresses

Primary practice location

3 Boulder LN
Mansfield Ctr, CT 06250-1105

Mailing address

3 Boulder LN
Mansfield Ctr, CT 06250-1105
Phone (860) 429-2077

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1083857056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BOULDER LN",
            "city": "MANSFIELD CTR",
            "state": "CT",
            "postal_code": "062501105",
            "telephone_number": "860-429-2077",
            "fax_number": "860-429-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BOULDER LN",
            "city": "MANSFIELD CTR",
            "state": "CT",
            "postal_code": "062501105",
            "telephone_number": "860-429-2077",
            "fax_number": "860-429-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALKEYLANI CARDIOLOGY AND FAMILY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "ALKEYLANI",
        "authorized_official_first_name": "ABD",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-129-2077",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "035596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield Ctr, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.