Ansonia Urgent Care LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

CT049851 Issued in CT

Legal business name

ANSONIA URGENT CARE LLC

Practice address

158 Main St
201
Ansonia, CT 06401-1836

Phone

(203) 693-3676

NPI assigned

Sep 27, 2013

Organization subpart

No

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

Authorized official

Name

Awais Malik, M.D

Title

Partner

Phone

(203) 693-3676

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1831526458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 MAIN ST",
            "address_2": "201",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011836",
            "telephone_number": "203-693-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 MAIN ST",
            "address_2": "201",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011836",
            "telephone_number": "203-693-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANSONIA URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "AWAIS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "203-693-3676",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CT",
            "license": "CT049851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bindu Badlani, DDS
• Audrey Baehr, LADC

• All providers in Ansonia, CT
• Health Maintenance Organization in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.