Active NPI
Assurance Optimal Health LLC
- Primary Care Clinic/Center
- Stratford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- ASSURANCE OPTIMAL HEALTH LLC
- Practice address
- 1111 Stratford Ave Apt 404
Stratford, CT 06615-6380 - Phone
- (203) 278-1125
- NPI assigned
- Aug 18, 2021
- Last updated
- Aug 18, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kwame Acheampong, NP
- Title
- NP
- Phone
- (203) 278-1125
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary |
Addresses
Primary practice location
1111 Stratford Ave Apt 404
Stratford, CT 06615-6380
Mailing address
1111 Stratford Ave Apt 404
Stratford, CT 06615-6380
Phone (203) 278-1125
Other names 1
- Assurance Optimal Health LLC
National Provider Directory
National Provider DirectoryLocations
238 Monroe Tpke
Unit 2B
Monroe, CT 06468
Phone (203) 278-1125
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.
-
- Family Nurse Practitioner
- Stratford, CT
- NPI 1659975969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629244800000",
"number": "1093481137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 STRATFORD AVE APT 404",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066156380",
"telephone_number": "203-278-1125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 STRATFORD AVE APT 404",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066156380",
"telephone_number": "203-278-1125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSURANCE OPTIMAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-18",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A",
"authorized_official_last_name": "ACHEAMPONG",
"authorized_official_first_name": "KWAME",
"authorized_official_title_or_position": "NP",
"authorized_official_telephone_number": "203-278-1125",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Assurance Optimal Health LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Stratford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.