Inwellness Connecticut LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INWELLNESS CONNECTICUT LLC

Practice address

417 Highland Ave Ste 2
Waterbury, CT 06708-3454

Phone

(800) 539-7175

Fax

(480) 750-7209

NPI assigned

Jan 12, 2018

Organization subpart

No

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

Authorized official

Name

John Mellin III

Title

Ceo

Phone

(561) 235-8820

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515715200000",
    "number": "1164930152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 HIGHLAND AVE STE 2",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083454",
            "telephone_number": "800-539-7175",
            "fax_number": "480-750-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 HIGHLAND AVE STE 2",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083454",
            "telephone_number": "800-539-7175",
            "fax_number": "480-750-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INWELLNESS CONNECTICUT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-12",
        "status": "A",
        "authorized_official_last_name": "MELLIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-235-8820",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Instillness Therapy LLC
• Integrated Dermatology of Waterbury, LLC
• Integrative Nutrition Solutions
• Internal Medicine Specialists
• Inurse Homecare, LLC.
• Ionut Anton M.D. PC
• Muhammad Iqbal, MD
• Agron Ismaili
• Ismile Orthodontics of Waterbury LLC
• Michael Israel, D.D.S.

• Internal Medicine Physician in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; 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.