Comprehensive Medical Group, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

002626 Issued in CT

Legal business name

COMPREHENSIVE MEDICAL GROUP, LLC

Practice address

40 Dale Rd
Suite 103
Avon, CT 06001-3692

Phone

(860) 673-3737

Fax

(860) 675-0640

NPI assigned

Mar 21, 2011

Organization subpart

No

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

Authorized official

Name

Mary E. Amato

Title

Practice Manager

Phone

(860) 673-3737

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lalarukh Mufti, M.D.

  • Internal Medicine Physician
  • Avon, CT
  • NPI 1942352794
  Medicare reassignment NPD

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1093014748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 DALE RD",
            "address_2": "SUITE 103",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013692",
            "telephone_number": "860-673-3737",
            "fax_number": "860-675-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 DALE RD",
            "address_2": "SUITE 103",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013692",
            "telephone_number": "860-673-3737",
            "fax_number": "860-675-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "AMATO",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "860-673-3737"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "002626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARY LEAHY, APRN NPI",
            "identifier": "1669496113",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. LALRUKH MUFTI NPI",
            "identifier": "1942352794",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah L Collins-Perrica
• Colleen Anne Collins, OTR/L
• Katelyn Collins
• Ashley Kaye Comeau, PA-C
• Comforide LLC
• Concrete Interventions and Support Services PLLC
• Connecticut CVS Pharmacy, L.L.C.
• Connecticut Surgical Group, PC
• Patricia Connerney, APRN
• Maureen Connors

• Family Nurse Practitioner in Avon, CT
• Providers in Avon, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.