Active NPI
Robert Aj Ave'Lallemant, M.D.
- Urology Physician
- New Britain, CT
National Provider Identifier
1669469839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 040461
- Practice address
- 1 Lake St
Grove Hill Medical Center
New Britain, CT 06052-1396 - Phone
- (860) 826-4453
- Fax
- (860) 826-6219
- NPI assigned
- Oct 4, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 040461 | CT | Primary |
Addresses
Primary practice location
1 Lake St
Grove Hill Medical Center
New Britain, CT 06052-1396
Mailing address
300 Kensington Ave
Grove Hill Medical Center
New Britain, CT 06051-3916
Phone (860) 826-4453
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255448155 | Other | CT | GHMC GROUP NPI |
| 0007520370 | Other | CT | AETNA |
| 040461 | Other | CT | CONNECTICARE |
| P2655517 | Other | CT | OXFORD |
| 010040461CT04 | Other | CT | BCBS & BCFP |
| 1598304-004 | Other | CT | CIGNA |
| 2V6808 | Other | CT | HEALTH NET |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040461 | CT | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1669469839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 KENSINGTON AVE",
"address_2": "GROVE HILL MEDICAL CENTER",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060513916",
"telephone_number": "860-826-4453",
"fax_number": "860-826-6219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LAKE ST",
"address_2": "GROVE HILL MEDICAL CENTER",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060521396",
"telephone_number": "860-826-4453",
"fax_number": "860-826-6219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVE'LALLEMANT",
"first_name": "ROBERT",
"middle_name": "AJ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CT",
"license": "040461",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHMC GROUP NPI",
"identifier": "1255448155",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0007520370",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "040461",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2655517",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS & BCFP",
"identifier": "010040461CT04",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1598304-004",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "2V6808",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Britain, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.