Active NPI
Zachary John Manfredi, FNP
- Nurse Practitioner
- New Milford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 011270
- Practice address
- 24 Elm St
New Milford, CT 06776-2938 - Phone
- (860) 210-5550
- NPI assigned
- Oct 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 0001234947 | VA | |
| Nurse Practitioner | 363L00000X | 011270 | CT | Primary |
Addresses
Primary practice location
24 Elm St
New Milford, CT 06776-2938
Mailing address
26 Weldon Woods Rd
New Fairfield, CT 06812-4610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-7118
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001234947 | VA | MD | Emergency Registered Nurse |
| 011270 | CT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afc Physicians of Connecticut, PC | Current | Accepting new patients | |
| Afc Physicians of Connecticut, PC | Current | Accepting new patients |
Locations
2 Main St
Danbury, CT 06810
Phone (203) 826-2140
365 Queen St
Southington, CT 06489
Phone (855) 349-2828
1030 Boulevard
West Hartford, CT 06119
Phone (860) 986-6440
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Danbury, CT
- NPI 1407898117
-
- Urgent Care Clinic/Center
- Danbury, CT
- NPI 1003152984
-
- Urgent Care Clinic/Center
- Rocky Hill, CT
- NPI 1285387530
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Danbury, CT
- NPI 1548293343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1184349524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 WELDON WOODS RD",
"city": "NEW FAIRFIELD",
"state": "CT",
"postal_code": "068124610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 ELM ST",
"city": "NEW MILFORD",
"state": "CT",
"postal_code": "067762938",
"telephone_number": "860-210-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANFREDI",
"first_name": "ZACHARY",
"middle_name": "JOHN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-07",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "VA",
"license": "0001234947",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "011270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.