Active NPI
Brooklyn Innoseq Inc
- Obstetrics Physician
- Farmington, CT
National Provider Identifier
1295554012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 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 DirectoryNPI 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.