Individual provider Active NPI

Dorota Urban, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cheshire, CT
National Provider Identifier
1689047698
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
6382 Issued in CT
Practice address
609 W Johnson Ave Unit 304
Cheshire, CT 06410-4505
Phone
(860) 348-3668
NPI assigned
Nov 12, 2015
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12.006382 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 6382 CT Primary

Addresses

Primary practice location

609 W Johnson Ave Unit 304
Cheshire, CT 06410-4505

Mailing address

609 W Johnson Ave Unit 304
Cheshire, CT 06410-4505
Phone (860) 348-3668

Other names 1

  • Dorota Urban Professional name

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160606002701 CT Practitioner - Nurse Practitioner 4880984616 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
77.63 of 100Reported as group
Quality
62.23
Improvement activities
40
Cost
81.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12.006382CTMDFamily Nurse Practitioner
6382CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Connecticut, PC Current Accepting new patients
Yale University CurrentSince Aug 1, 2019 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Sep 1, 2021 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Sep 1, 2021 Accepting new patients
Yale University CurrentSince Aug 1, 2019 Accepting new patients
Bristol Hospital Multi Specialty Group, Inc CurrentSince Mar 23, 2016 Accepting new patients

Locations

10 N Main St
Ste 210
Bristol, CT 06010
Phone (860) 314-2052

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

539 Farmington Ave
Bristol, CT 06010
Phone (860) 314-6046

539 Farmington Ave
Ste Ab
Bristol, CT 06010

2 Main St
Danbury, CT 06810
Phone (203) 826-2140

135 E Main St
New Britain, CT 06051
Phone (860) 357-6899

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

20 York St
North Haven, CT 06510
Phone (203) 688-2433

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1689047698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W JOHNSON AVE UNIT 304",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064104505",
            "telephone_number": "860-348-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W JOHNSON AVE UNIT 304",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064104505",
            "telephone_number": "860-348-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBAN",
        "first_name": "DOROTA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-12",
        "last_updated": "2023-09-25",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.006382",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "6382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTA",
            "last_name": "URBAN",
            "credential": "FNP-BC, PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cheshire, CT

Sources for this page

Verify at the official NPI Registry.