Organization Active NPI

Dobrita Family Care LLC

  • Clinic/Center
  • Avon, CT
National Provider Identifier
1457896862
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
045219 Issued in CT
Legal business name
DOBRITA FAMILY CARE LLC
Practice address
46 W Avon Rd
Suite 301
Avon, CT 06001-3679
Phone
(860) 839-6333
NPI assigned
Dec 21, 2016
Last updated
Dec 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
Alina Dobrita, MDNPI 1194945063
Title
Physician, Member
Phone
(860) 839-6333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 045219 CT Primary

Addresses

Primary practice location

46 W Avon Rd
Suite 301
Avon, CT 06001-3679

Mailing address

46 W Avon Rd
Suite 301
Avon, CT 06001-3679
Phone (860) 839-6333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170501000025 CT Part B Supplier - Clinic/Group Practice 6204113210 Receives reassigned benefits from 2 practitioners
Practice locations: Avon, CT

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2127155Dobrita Family Care LLC46 West Avon Rd, Suite 301, Avon, CT 06001Certificate of waiverMar 9, 2027

National Provider Directory

National Provider Directory

Locations

46 W Avon Rd
Ste 301
Avon, CT 06001
Phone (860) 404-2047

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1457896862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 W AVON RD",
            "address_2": "SUITE 301",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013679",
            "telephone_number": "860-839-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 W AVON RD",
            "address_2": "SUITE 301",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013679",
            "telephone_number": "860-839-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOBRITA FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "DOBRITA",
        "authorized_official_first_name": "ALINA",
        "authorized_official_title_or_position": "PHYSICIAN, MEMBER",
        "authorized_official_telephone_number": "860-839-6333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CT",
            "license": "045219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.