Active NPI
Anwar Esam Abdulrehman, APRN
- Family Nurse Practitioner
- Waterbury, CT
National Provider Identifier
1194614255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 14982
- Practice address
- 50 Brookside Rd
Waterbury, CT 06708-1402 - Phone
- (203) 568-7474
- NPI assigned
- Jul 1, 2025
- Last updated
- Jun 6, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 14982 | CT | Primary |
Addresses
Primary practice location
50 Brookside Rd
Waterbury, CT 06708-1402
Mailing address
7 Shannon RDG
Danbury, CT 06810-6326
Phone (203) 770-5698
Other practice location 1
60 Beaver Brook Rd
Danbury, CT 06810-6239
Phone (203) 743-7574
Other practice location 2
285 Kensington Ave
Meriden, CT 06451-2017
Phone (203) 608-0205
Other practice location 3
7 Shannon Rdg
Danbury, CT 06810-6326
Phone (203) 770-5698
Other practice location 4
20 N Main St
Norwalk, CT 06854-2656
Phone (203) 838-6508
Other practice location 5
4 Midland Rd
Waterbury, CT 06705-3412
Phone (203) 755-8874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14982 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NPI 1750234605 | Current | Accepting new patients |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780704000000",
"number": "1194614255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 SHANNON RDG",
"city": "DANBURY",
"state": "CT",
"postal_code": "068106326",
"telephone_number": "203-770-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 BROOKSIDE RD",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067081402",
"telephone_number": "203-568-7474"
}
],
"practiceLocations": [
{
"address_1": "60 Beaver Brook Rd",
"address_purpose": "LOCATION",
"city": "Danbury",
"state": "CT",
"postal_code": "068106239",
"country_code": "US",
"telephone_number": "203-743-7574",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "285 Kensington Ave",
"address_purpose": "LOCATION",
"city": "Meriden",
"state": "CT",
"postal_code": "064512017",
"country_code": "US",
"telephone_number": "203-608-0205",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7 Shannon Rdg",
"address_purpose": "LOCATION",
"city": "Danbury",
"state": "CT",
"postal_code": "068106326",
"country_code": "US",
"telephone_number": "203-770-5698",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 N Main St",
"address_purpose": "LOCATION",
"city": "Norwalk",
"state": "CT",
"postal_code": "068542656",
"country_code": "US",
"telephone_number": "203-838-6508",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4 Midland Rd",
"address_purpose": "LOCATION",
"city": "Waterbury",
"state": "CT",
"postal_code": "067053412",
"country_code": "US",
"telephone_number": "203-755-8874",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABDULREHMAN",
"first_name": "ANWAR",
"middle_name": "ESAM",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-01",
"last_updated": "2026-06-06",
"certification_date": "2026-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "14982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.