Organization Active NPI

Avon Allies LLC

  • Primary Care Clinic/Center
  • Avon, CT
National Provider Identifier
1760923734
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
039306 Issued in CT
Legal business name
AVON ALLIES LLC
Practice address
45 W Main St
Upper Level Suite 1
Avon, CT 06001-3791
Phone
(860) 409-9255
NPI assigned
Mar 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Authorized official

Name
Dr. Nauman J Mufti, MD, MPH
Title
Medical Director- Ceo
Phone
(860) 409-9255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 039306 CT Primary

Addresses

Primary practice location

45 W Main St
Upper Level Suite 1
Avon, CT 06001-3791

Mailing address

45 W Main St
Upper Level Suite 1
Avon, CT 06001-3791
Phone (860) 409-9255

Other identifiers 1

IdentifierTypeStateIssuer
008047645MedicaidCT

Other names 1

  • BETTER MEDICINE CO Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1760923734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 W MAIN ST",
            "address_2": "UPPER LEVEL SUITE 1",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013791",
            "telephone_number": "860-409-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W MAIN ST",
            "address_2": "UPPER LEVEL SUITE 1",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013791",
            "telephone_number": "860-409-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVON ALLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "MUFTI",
        "authorized_official_first_name": "NAUMAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR- CEO",
        "authorized_official_telephone_number": "860-409-9255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CT",
            "license": "039306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008047645",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BETTER MEDICINE CO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.