Access Recovery LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

ACCESS RECOVERY LLC

Practice address

4675 Main St
Bridgeport, CT 06606-1813

Phone

(203) 372-3333

Fax

(203) 374-7515

NPI assigned

Sep 25, 2024

Organization subpart

No

Name

Dr. Ebenezer Adekunle Kolade, MD

Title

Member

Phone

(203) 803-7428

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 25, 2024.

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1689491128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061813",
            "telephone_number": "203-372-3333",
            "fax_number": "203-374-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061813",
            "telephone_number": "203-372-3333",
            "fax_number": "203-374-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "KOLADE",
        "authorized_official_first_name": "EBENEZER",
        "authorized_official_middle_name": "ADEKUNLE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-803-7428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Abrante- Beard
• Idania Abreu-Velazquez, LCSW
• Kayla Abreu
• Marcio Marc Abreu, M.D.
• Abundance Health Services LLC
• Accumedica, LLC
• Gisselle Acevedo, MFT
• Maheep Chowdary Achanta, MBBS
• Jonathan P Ackley, L.O
• Gina M Acosta, LCSW

• All providers in Bridgeport, CT
• Methadone Clinic in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.