Active NPI
A.Aziz Richi, MD, LLC
- Specialist
- Waterbury, CT
National Provider Identifier
1780839977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 020067
- Legal business name
- A.AZIZ RICHI, MD, LLC
- Practice address
- 1389 W Main St
Suite 322
Waterbury, CT 06708-3104 - Phone
- (203) 753-0877
- Fax
- (203) 759-1537
- NPI assigned
- Dec 1, 2008
- Last updated
- Dec 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. A.Aziz Richi, MD
- Title
- Physician / Owner
- Phone
- (203) 753-0877
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 020067 | CT | Primary |
Addresses
Primary practice location
1389 W Main St
Suite 322
Waterbury, CT 06708-3104
Mailing address
1389 W Main St
Suite 322
Waterbury, CT 06708-3104
Phone (203) 753-0877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001200674 | Medicaid | CT |
National Provider Directory
National Provider DirectoryLocations
1389 W Main St
Ste 322
Waterbury, CT 06708
Phone (203) 753-0877
Practitioners & affiliated clinicians
Practitioners 1
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": "1228089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228089600000",
"number": "1780839977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1389 W MAIN ST",
"address_2": "SUITE 322",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083104",
"telephone_number": "203-753-0877",
"fax_number": "203-759-1537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1389 W MAIN ST",
"address_2": "SUITE 322",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083104",
"telephone_number": "203-753-0877",
"fax_number": "203-759-1537"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A.AZIZ RICHI, MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-01",
"last_updated": "2008-12-01",
"status": "A",
"authorized_official_last_name": "RICHI",
"authorized_official_first_name": "A.AZIZ",
"authorized_official_title_or_position": "PHYSICIAN / OWNER",
"authorized_official_telephone_number": "203-753-0877",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CT",
"license": "020067",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001200674",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.