Organization Active NPI

Ctpc01 PC

  • Internal Medicine Physician
  • Torrington, CT
National Provider Identifier
1295296424
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CTPC01 PC
Practice address
1171 E Main St
Torrington, CT 06790-3963
Phone
(860) 866-4321
Fax
(860) 866-4423
NPI assigned
Mar 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Authorized official

Name
Donna Lovallo
Title
Director of Operations
Phone
(860) 309-1891

Specialties & licenses 2

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

Addresses

Primary practice location

1171 E Main St
Torrington, CT 06790-3963

Mailing address

7 Watson Dr
West Simsbury, CT 06092-2233
Phone (860) 866-4321

Other names 2

  • AFC Urgent Care Doing business as
  • American Family Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1295296424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WATSON DR",
            "city": "WEST SIMSBURY",
            "state": "CT",
            "postal_code": "060922233",
            "telephone_number": "860-866-4321",
            "fax_number": "860-866-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 E MAIN ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903963",
            "telephone_number": "860-866-4321",
            "fax_number": "860-866-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CTPC01 PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "LOVALLO",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "860-309-1891"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFC Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AFC Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "American Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Torrington, CT

Sources for this page

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