Organization Active NPI

New England Urgent Care Enfield LLC

Doing business as New England Urgent Care Enfield

  • Urgent Care Clinic/Center
  • Bristol, CT
National Provider Identifier
1457759755
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
NEW ENGLAND URGENT CARE ENFIELD LLC
Doing business as
New England Urgent Care Enfield
Practice address
575 Farmington Ave
Unit 51
Bristol, CT 06010-3933
Phone
(860) 845-5763
Fax
(860) 745-7077
NPI assigned
Dec 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Dr. Michael Gutman, MD
Title
Medical Director
Phone
(860) 236-3911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

575 Farmington Ave
Unit 51
Bristol, CT 06010-3933

Mailing address

575 Farmington Ave
Unit 51
Bristol, CT 06010-3933
Phone (860) 845-5763

Other names 1

  • New England Urgent Care Enfield Doing business as

National Provider Directory

National Provider Directory

Locations

576 Farmington Ave
#51
Bristol, CT 06010
Phone (860) 745-9911

575 Farmington Ave
Unit 51
Bristol, CT 06010
Phone (860) 845-5763

NPI Registry JSON

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1457759755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 FARMINGTON AVE",
            "address_2": "UNIT 51",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060103933",
            "telephone_number": "860-845-5763",
            "fax_number": "860-745-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 FARMINGTON AVE",
            "address_2": "UNIT 51",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060103933",
            "telephone_number": "860-845-5763",
            "fax_number": "860-745-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND URGENT CARE ENFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "GUTMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "860-236-3911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New England Urgent Care Enfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bristol, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.