Individual provider Active NPI

Ava Milom, NP

  • Nurse Practitioner
  • East Haven, CT
National Provider Identifier
1437623550
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F306843-1 Issued in NY
Practice address
317 Foxon Rd
East Haven, CT 06513-2038
Phone
(203) 529-3271
NPI assigned
Jan 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 11479 CT
Nurse Practitioner 363L00000X F306843-1 NY Primary

Addresses

Primary practice location

317 Foxon Rd
East Haven, CT 06513-2038

Mailing address

317 Foxon Rd
East Haven, CT 06513-2038
Phone (203) 529-3271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250701003294 CT Practitioner - Nurse Practitioner 3779821509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Vincents Urgent Care LLCGroup PAC ID 6901119767, 43 clinicians

Practice addresses (Care Compare)

900 White Plains Rd
Suite D
Trumbull, CT 06611-5727
Phone (203) 696-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F306843-1NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincents Urgent Care LLC Nurse Practitioner CurrentSince Jul 1, 2025 Accepting new patients
St. Vincents Urgent Care LLC CurrentSince Jul 1, 2025 Accepting new patients
CT Medical Group Inc. Past Accepting new patients

Locations

7365 Main St
Ste 7
Stratford, CT 06614
Phone (203) 696-3505

900 White Plains Rd
Ste D
Trumbull, CT 06611
Phone (203) 696-3500

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: ms_aforbe13@landmarkhealth-direct.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1437623550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 FOXON RD",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065132038",
            "telephone_number": "203-529-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 FOXON RD",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065132038",
            "telephone_number": "203-529-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILOM",
        "first_name": "AVA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CT",
            "license": "11479",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F306843-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Haven, CT

Sources for this page

Verify at the official NPI Registry.