NPIMap

Organization Active NPI

MLZ Health Care Associates, LLC

  • Adult Health Nurse Practitioner
  • Clinton, CT
National Provider Identifier
1205094885
Registry record updated Oct 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
MLZ HEALTH CARE ASSOCIATES, LLC
Practice address
17 Pepperbush Dr
Clinton, CT 06413-1168
Phone
(860) 669-5302
Fax
(860) 669-5302
NPI assigned
May 29, 2008
Last updated
Oct 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2008

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

Authorized official

Name
Mrs. Maria L Zandonella, APRNNPI 1558364174
Title
Owner
Phone
(860) 575-0349

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X Primary
Gerontology Nurse Practitioner 363LG0600X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X

Addresses

Primary practice location

17 Pepperbush Dr
Clinton, CT 06413-1168

Mailing address

17 Pepperbush Dr
Clinton, CT 06413-1168
Phone (860) 669-5302

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223856000000",
    "number": "1205094885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 PEPPERBUSH DR",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064131168",
            "telephone_number": "860-669-5302",
            "fax_number": "860-669-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 PEPPERBUSH DR",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064131168",
            "telephone_number": "860-669-5302",
            "fax_number": "860-669-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLZ HEALTH CARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-10-13",
        "status": "A",
        "authorized_official_last_name": "ZANDONELLA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-575-0349",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; 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.