Advanced NP Solutions LLC
Organization Active NPI Nurse Practitioner · Bridgeport, CT
NPI 1306207063 · NPPES record last updated Jul 6, 2020
Key facts
- NPI
- 1306207063
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 005887 (CT)
- Legal business name
- ADVANCED NP SOLUTIONS LLC
- Practice address
- 3180 Main St Unit 1B
Bridgeport, CT 06606-4237 - Phone
- (203) 375-6320
- NPI assigned
- Mar 9, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Louis Ernest D'Onofrio Jr., DNP
- Title
- Owner
- Phone
- (203) 451-4909
Practitioners 1
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D2161454 | Best Health Primary Care | Certificate of waiver | Feb 3, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160518000079 | CT | Part B Supplier - Clinic/Group Practice | 6002105871 |
Receives reassigned benefits from 1 practitioner Practice locations: Bridgeport, CT |
National Provider Directory
Locations
3180 Main St
Unit 1B
Bridgeport, CT 06606
Phone (203) 375-6320
3180 Main St
Unit B
Bridgeport, CT 06606
Phone (203) 375-6362
275 Post Rd E
Ste 10
Westport, CT 06880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | |||
| Nurse Practitioner |
363L00000X | 005887 | CT | Yes |
Addresses
Primary practice location
3180 Main St Unit 1B
Bridgeport, CT 06606-4237
Mailing address
3180 Main St Unit 1B
Bridgeport, CT 06606-4237
Phone (203) 375-6320
Other names
- Best Health Primary Care
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- Advanced Health Professionals
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- Heather Adzima
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All providers in Bridgeport, CT · Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.