Organization Active NPI

Koni Aprn Family Practice LLC

  • Primary Care Clinic/Center
  • Rocky Hill, CT
National Provider Identifier
1740823640
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
KONI APRN FAMILY PRACTICE LLC
Practice address
53 New Britain Ave Ste 7
Rocky Hill, CT 06067-1175
Phone
(860) 729-4646
Fax
(860) 785-8343
NPI assigned
Oct 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Authorized official

Name
Aida Koni, APRN-FNPNPI 1659825974
Title
Member
Phone
(860) 729-8434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

53 New Britain Ave Ste 7
Rocky Hill, CT 06067-1175

Mailing address

53 New Britain Ave Ste 7
Rocky Hill, CT 06067-1175
Phone (860) 729-4646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200106002843 CT Part B Supplier - Clinic/Group Practice 5597199299 Receives reassigned benefits from 1 practitioner
Practice locations: Rocky Hill, CT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2183201Koni Aprn Family Practice LLC53 New Britain Ave, Suite 7, Rocky Hill, CT 06067Certificate of waiverApr 30, 2028

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20770/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1740823640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 NEW BRITAIN AVE STE 7",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671175",
            "telephone_number": "860-729-4646",
            "fax_number": "860-785-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 NEW BRITAIN AVE STE 7",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671175",
            "telephone_number": "860-729-4646",
            "fax_number": "860-785-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONI APRN FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "KONI",
        "authorized_official_first_name": "AIDA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-729-8434",
        "authorized_official_credential": "APRN-FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.