Amara Primary Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

000438 Issued in CT

Legal business name

AMARA PRIMARY CARE LLC

Practice address

31 Old Route 7
Brookfield, CT 06804-1711

Phone

(203) 740-4455

Fax

(203) 740-4477

NPI assigned

Aug 7, 2018

Last updated

Jan 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew D Amara, DO

Title

Sole Owner Member

Phone

(203) 740-4455

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Matthew Amara, DO Other name

Locations

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1194204644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 MAIN ST",
            "city": "MIDDLEFIELD",
            "state": "CT",
            "postal_code": "064551210",
            "telephone_number": "860-852-5828",
            "fax_number": "860-852-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 OLD ROUTE 7",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068041711",
            "telephone_number": "203-740-4455",
            "fax_number": "203-740-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARA PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "AMARA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SOLE OWNER MEMBER",
        "authorized_official_telephone_number": "203-740-4455",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "000438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008081624",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matthew Amara, DO",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Matthew Amara, DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Medicine Physician in Brookfield, CT
• Providers in Brookfield, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.