NPIMap

Organization Active NPI

Apt Foundation, Inc

  • Clinic/Center
  • New Haven, CT
National Provider Identifier
1801950951
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0000610 Issued in CT
Legal business name
APT FOUNDATION, INC
Practice address
1 Long Wharf Dr
New Haven, CT 06511-5991
Phone
(203) 781-4640
Fax
(203) 781-4682
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Authorized official

Name
Ms. Lynn M Madden, MPA
Title
President, Ceo
Phone
(203) 781-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0000610 CT Primary

Addresses

Primary practice location

1 Long Wharf Dr
New Haven, CT 06511-5991

Mailing address

1 Long Wharf Dr
Ste 321
New Haven, CT 06511-5991
Phone (203) 781-4600

Other identifiers 19

IdentifierTypeStateIssuer
008066315OtherCTCOLON RIVERA MEDICAID
008066948OtherCTLOUIE MEDICAID
001218107OtherCTSCHOTTENFELD MEDICAID
001272286MedicaidCT
001307439OtherCTALTICE MEDICAID
008040283OtherCTCAMENGA MEDICAID
008063396OtherCTMEMISEVICH MEDICAID
008066801OtherCTHAQUE MEDICAID
001340132OtherCTSAVAGE MEDICAID
001423135OtherCTTETRAULT MEDICAID
004217099OtherCTPCS LONG WHARF MEDICAID
008003745OtherCTDESROSIERS MEDICAID
008053091OtherCTBUTNER MEDICAID
001302497OtherCTSHI MEDICAID
008037391OtherCTSHACKELL MEDICAID
008058058OtherCTSADINSKY MEDICAID
008069118OtherCTCAMPBELL MEDICAID #
008066293OtherCTMARDAM BEY MEDICAID
008068420OtherCTSCHEFILITI MEDICAID

Other names 1

  • Primary Care Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111005000111 CT Part B Supplier - Clinic/Group Practice 8729250204 Receives reassigned benefits from 39 practitioners
Practice locations: New Haven, CT

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Apt Foundation Inc25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1801950951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LONG WHARF DR",
            "address_2": "STE 321",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115991",
            "telephone_number": "203-781-4600",
            "fax_number": "203-781-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LONG WHARF DR",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115991",
            "telephone_number": "203-781-4640",
            "fax_number": "203-781-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APT FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "203-781-4600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CT",
            "license": "0000610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLON RIVERA MEDICAID",
            "identifier": "008066315",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUIE MEDICAID",
            "identifier": "008066948",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCHOTTENFELD MEDICAID",
            "identifier": "001218107",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001272286",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTICE MEDICAID",
            "identifier": "001307439",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAMENGA MEDICAID",
            "identifier": "008040283",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEMISEVICH MEDICAID",
            "identifier": "008063396",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAQUE MEDICAID",
            "identifier": "008066801",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAVAGE MEDICAID",
            "identifier": "001340132",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TETRAULT MEDICAID",
            "identifier": "001423135",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PCS LONG WHARF MEDICAID",
            "identifier": "004217099",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DESROSIERS MEDICAID",
            "identifier": "008003745",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUTNER MEDICAID",
            "identifier": "008053091",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHI MEDICAID",
            "identifier": "001302497",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHACKELL MEDICAID",
            "identifier": "008037391",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SADINSKY MEDICAID",
            "identifier": "008058058",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAMPBELL MEDICAID #",
            "identifier": "008069118",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARDAM BEY MEDICAID",
            "identifier": "008066293",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCHEFILITI MEDICAID",
            "identifier": "008068420",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.