NPIMap

Organization Active NPI

Mdlive Medical Group de PA

  • Family Medicine Physician
  • Bloomfield, CT
National Provider Identifier
1245978683
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MDLIVE MEDICAL GROUP DE PA
Practice address
900 Cottage Grove Rd
Bloomfield, CT 06002-2920
Phone
(800) 400-6354
NPI assigned
May 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Sue-Ann Adrians
Title
Government Programs PM
Phone
(945) 275-1345

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

900 Cottage Grove Rd
Bloomfield, CT 06002-2920

Mailing address

3350 SW 148TH Ave Ste 300
Miramar, FL 33027-3259
Phone (800) 400-6354

Other practice location 1

3350 SW 148th Ave Ste 300
Miramar, FL 33027-3259
Phone (800) 400-6354

Other names 1

  • MDLIVE MEDICAL GROUP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mdlive Medical Group de PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1245978683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 SW 148TH AVE STE 300",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273259",
            "telephone_number": "800-400-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COTTAGE GROVE RD",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022920",
            "telephone_number": "800-400-6354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3350 SW 148th Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330273259",
            "country_code": "US",
            "telephone_number": "800-400-6354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MDLIVE MEDICAL GROUP DE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "ADRIANS",
        "authorized_official_first_name": "SUE-ANN",
        "authorized_official_title_or_position": "GOVERNMENT PROGRAMS PM",
        "authorized_official_telephone_number": "945-275-1345"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDLIVE MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.

Verify at the official NPI Registry.