Active NPI
Susan M Kamovitch, APRN
- Family Nurse Practitioner
- Fairfield, CT
National Provider Identifier
1609879485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 001830
- Practice address
- 206 South Street
SMR Health Care
Fairfield, CT 06824 - Phone
- (203) 255-3367
- NPI assigned
- May 24, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 001830 | CT | Primary |
Addresses
Primary practice location
206 South Street
SMR Health Care
Fairfield, CT 06824
Mailing address
206 South Street
Fairfield, CT 06824-5906
Phone (203) 255-3367
Other practice location 1
1 Cellini Pl Ste 102
West Haven, CT 06516-1666
Phone (203) 932-6481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004236718 | Medicaid | CT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | susan.kamovitch@xdr.hhchealthdirect.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001830 | CT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NP Care, LLC | Past | Accepting new patients | |
| DME Healthcare LLC | Past | Accepting new patients | |
| Susan Kamovitch | Family | Past | Accepting new patients |
| NP Care, LLC | Past | Accepting new patients | |
| MLZ Health Care Associates, LLC | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Family Nurse Practitioner
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- Adult Health Nurse Practitioner
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- NPI 1205094885
-
- Internal Medicine Physician
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- NPI 1326238866
-
- Nurse Practitioner
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1609879485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 SOUTH STREET",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068245906",
"telephone_number": "203-255-3367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 SOUTH STREET",
"address_2": "SMR HEALTH CARE",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "06824",
"telephone_number": "203-255-3367"
}
],
"practiceLocations": [
{
"address_1": "1 Cellini Pl Ste 102",
"address_purpose": "LOCATION",
"city": "West Haven",
"state": "CT",
"postal_code": "065161666",
"country_code": "US",
"telephone_number": "203-932-6481",
"fax_number": "203-932-4051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAMOVITCH",
"first_name": "SUSAN",
"middle_name": "M",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-24",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "001830",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004236718",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "susan.kamovitch@xdr.hhchealthdirect.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1 Cellini Pl Ste 102",
"city": "West Haven",
"state": "CT",
"country_code": "US",
"postal_code": "065161666",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.