Associates in Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

031878 Issued in CT

Legal business name

ASSOCIATES IN FAMILY PRACTICE

Practice address

246 Federal Rd Ste D12
Brookfield, CT 06804-2648

Phone

(203) 775-3290

Fax

(203) 775-6970

NPI assigned

Mar 12, 2012

Last updated

Mar 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Chrisitne Marie Dalton

Title

Office Manager

Phone

(203) 775-3290

Specialties & licenses 1

Addresses

Locations

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.

• Lisa Haut

  • Family Nurse Practitioner
  • Torrington, CT
  • NPI 1962400150
  NPD (past)
• John Joseph Pendergast, PA-C

  • Medical Physician Assistant
  • Brookfield, CT
  • NPI 1902962160
  NPD (past)

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1831464643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 FEDERAL RD STE D12",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042648",
            "telephone_number": "203-775-3290",
            "fax_number": "203-775-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 FEDERAL RD STE D12",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042648",
            "telephone_number": "203-775-3290",
            "fax_number": "203-775-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "CHRISITNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "203-775-3290",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "031878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen G. Andricovich, LMFT
• Fernanda Antin, DC
• Robin Paul Appleby, MD
• Adam Archer
• Ascent Counseling LLC
• Julia Auerbach, M.D.
• Deborah A Augenbraun, PSYD
• Diana Badillo Martinez, PH.D.
• Richard Joseph Bailey, D.C.
• Nicole Suzanne Bajcar, FNP-BC

• Family Medicine Physician in Brookfield, CT
• Providers in Brookfield, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.