Fairfieldprimaryhealthcare,LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

033474 Issued in CT

Legal business name

FAIRFIELDPRIMARYHEALTHCARE,LLC

Practice address

1261 Post Rd
Suite 201
Fairfield, CT 06824-6072

Phone

(203) 255-2340

Fax

(203) 255-0619

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Fereshteh Faye Ahmadian, M.D.

Title

Owner

Phone

(203) 255-2340

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538296231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 POST RD",
            "address_2": "SUITE 201",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246072",
            "telephone_number": "203-255-2340",
            "fax_number": "203-255-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 POST RD",
            "address_2": "SUITE 201",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246072",
            "telephone_number": "203-255-2340",
            "fax_number": "203-255-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELDPRIMARYHEALTHCARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AHMADIAN",
        "authorized_official_first_name": "FERESHTEH",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-255-2340",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CT",
            "license": "033474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Primary Care Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.