Organization Active NPI

Brooklyn Innoseq Inc

  • Obstetrics Physician
  • Farmington, CT
National Provider Identifier
1295554012
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
BROOKLYN INNOSEQ INC
Practice address
263 Farmington Ave
Farmington, CT 06030-0002
Phone
(860) 679-2792
NPI assigned
Oct 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Miss Nini Fan
Title
President
Phone
(646) 945-8999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0000X Primary

Addresses

Primary practice location

263 Farmington Ave
Farmington, CT 06030-0002

Mailing address

14127 79TH Ave Apt 1D
Flushing, NY 11367-3673
Phone (646) 945-8999

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1295554012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14127 79TH AVE APT 1D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673673",
            "telephone_number": "646-945-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060300002",
            "telephone_number": "860-679-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN INNOSEQ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "FAN",
        "authorized_official_first_name": "NINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-945-8999",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.