MWL-Wallingford

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MWL-WALLINGFORD

Practice address

1243 S Broad St
Wallingford, CT 06492-1737

Phone

(203) 446-4555

NPI assigned

Jul 21, 2020

Organization subpart

No

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

Authorized official

Name

Pranav Shah

Title

Ownere

Phone

(203) 446-4555

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Celinez M Coons, PA-C

  • Physician Assistant
  • Berlin, CT
  • NPI 1912474024
  NPD (past)
• Allison Dutton, APRN

  • Family Nurse Practitioner
  • Hartford, CT
  • NPI 1427791334
  NPD (past)
• Allison Pearson, DNP, FNP

  • Family Nurse Practitioner
  • Wallingford, CT
  • NPI 1770058208
  NPD (past)
• Anita Tu Tran, PA-C

  • Physician Assistant
  • West Hartford, CT
  • NPI 1629378443
  NPD (past)
• Shayleen Marie Melillo, APRN

  • Family Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1669015186
  NPD (past)

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1346858867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 S BROAD ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921737",
            "telephone_number": "203-446-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 S BROAD ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921737",
            "telephone_number": "203-446-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MWL-WALLINGFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PRANAV",
        "authorized_official_title_or_position": "OWNERE",
        "authorized_official_telephone_number": "203-446-4555"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Belt Murphy, RPT
• Lisa Ann Murray, SLP
• Angela Mustac, D.C
• Jacqueline M Muszynski, RDN, LDN
• Sylvia Bertha Ngina Mwanzia, MD
• N.C.K., LLC
• Duquesa Nacpil, PHARM D.
• Muneet Kaur Nanda, D.M.D
• June Napolitano, RN
• Nicole Nardello

• Family Medicine Physician in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.