Abra Grize Mabasa, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

046475 Issued in CT

Practice address

125 New Milford Tpke
New Preston, CT 06777-1703

Phone

(860) 868-7318

Fax

(860) 868-7310

NPI assigned

Jun 25, 2008

Last updated

Oct 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Altorelli Health LLCGroup PAC ID 8921355157, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Danbury Hospital Hospital, Danbury, CT, CCN 070033
• Charlotte Hungerford Hospital Hospital, Torrington, CT, CCN 070011

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DHCIAD

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.

• Altorelli Health, LLC

  • Internal Medicine Physician
  • New Preston Marble Dale, CT
  • NPI 1922536788
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Danbury Hospital

  • Dental Clinic/Center
  • Danbury, CT
  • NPI 1003835935

  Hospital

  Care Compare affiliation
• Danbury Hospital

  • General Acute Care Hospital
  • Danbury, CT
  • NPI 1548293343
  Care Compare affiliation
• The Charlotte Hungerford Hospital

  • General Acute Care Hospital
  • Torrington, CT
  • NPI 1629075734
  Care Compare affiliation

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1477715035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 NEW MILFORD TPKE",
            "city": "NEW PRESTON",
            "state": "CT",
            "postal_code": "067771703",
            "telephone_number": "860-868-7318",
            "fax_number": "860-868-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 NEW MILFORD TPKE",
            "city": "NEW PRESTON",
            "state": "CT",
            "postal_code": "067771703",
            "telephone_number": "860-868-7318",
            "fax_number": "860-868-7310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 Park Lane Rd",
            "address_purpose": "LOCATION",
            "city": "New Milford",
            "state": "CT",
            "postal_code": "067762923",
            "country_code": "US",
            "telephone_number": "860-868-7318",
            "fax_number": "860-868-7310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MABASA",
        "first_name": "ABRA",
        "middle_name": "GRIZE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "046475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Campanelli
• Rebecca Chaison Christian-Parilla, PH.D.
• Joseph Gerard Conrad, LADC
• Denise A Good
• Robert E. Kane, O.D.
• Lisa McCarthy-Moore
• Pauline A Miller, LCSW
• New Preston Dermatology, LLC
• Robert Edward O'Keefe
• Psychotherapy Care, LLC

• Family Medicine Physician in New Preston, CT
• Providers in New Preston, 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 Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.