Anis & Martin Internal Medicine Associates, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

018083 Issued in CT

Legal business name

ANIS & MARTIN INTERNAL MEDICINE ASSOCIATES, LLC

Practice address

1504 Sullivan Ave
South Windsor, CT 06074-2711

Phone

(860) 644-1523

Fax

(860) 648-9468

NPI assigned

Jun 10, 2006

Last updated

Aug 5, 2013By 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

Michael Martin, MDNPI 1952364341

Title

MD

Phone

(860) 644-1523

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 2

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.

• Michael Martin, MD

  • Internal Medicine Physician
  • South Windsor, CT
  • NPI 1952364341
  Authorized official Same address or phone
• Candace L. O Keefe, PA

  • Physician Assistant
  • Fall River, MA
  • NPI 1396708780
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1285675082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3136",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060662036",
            "telephone_number": "860-896-1422",
            "fax_number": "860-896-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 SULLIVAN AVE",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742711",
            "telephone_number": "860-644-1523",
            "fax_number": "860-648-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIS & MARTIN INTERNAL MEDICINE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "860-644-1523",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "018083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD NUMBER DR. ANIS",
            "identifier": "P00269488",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD NUMBER DR. MARTIN",
            "identifier": "P00087818",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "DB1187",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charmain Ali, LCSW
• Kenneth R Alleyne, MD
• Marisol Alvarez
• Amy Destro, LCSW, LLC
• Lawrence J Andrus, DDS
• Yusra Anis-Anwar, MD
• Benedicta Anyabine, RN
• Eli Aroesty
• Art of Therapy, LLC.
• Aspen Grove Psychological Services, PLLC

• Internal Medicine Physician in South Windsor, CT
• Providers in South Windsor, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.