Organization Active NPI

Aware Recovery Clinical Associates

  • Addiction Medicine (Internal Medicine) Physician
  • Plantation, FL
National Provider Identifier
1780493569
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
Legal business name
AWARE RECOVERY CLINICAL ASSOCIATES
Practice address
1200 S Pine Island Rd
Plantation, FL 33324-4413
Phone
(203) 490-4266
NPI assigned
Jan 6, 2025
Last updated
Feb 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Danielle Smith
Title
Revenue Cycle Manager
Phone
(203) 671-0339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X NU Primary

Addresses

Primary practice location

1200 S Pine Island Rd
Plantation, FL 33324-4413

Mailing address

35 Thorpe Ave Ste 104
Wallingford, CT 06492-1948
Phone (203) 490-4266

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1780493569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 THORPE AVE STE 104",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921948",
            "telephone_number": "203-490-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S PINE ISLAND RD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244413",
            "telephone_number": "203-490-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWARE RECOVERY CLINICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "203-671-0339"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.