Individual provider Active NPI

Boguslawa Unger

  • Family Nurse Practitioner
  • Fairfield, CT
National Provider Identifier
1851879191
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7721 Issued in CT
Practice address
525 Tunxis Hill Cut Off
Fairfield, CT 06825
Phone
(203) 870-1973
NPI assigned
Jul 30, 2018
Last updated
Dec 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7721 CT Primary

Addresses

Primary practice location

525 Tunxis Hill Cut Off
Fairfield, CT 06825

Mailing address

525 Tunxis Hill Cut Off
Fairfield, CT 06825-4447
Phone (203) 870-1973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251105003406 CT Practitioner - Nurse Practitioner 8527558840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Docs Medical IncGroup PAC ID 3173895000, 30 clinicians
CT Medical Group Inc.Group PAC ID 9739663105, 35 clinicians

Practice addresses (Care Compare)

317 Foxon Rd
East Haven, CT 06513-2038
Phone (203) 529-3271

521 Boston Post Rd
Orange, CT 06477-3506
Phone (203) 529-3271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7721CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Docs Medical Inc CurrentSince Aug 3, 2025 Accepting new patients
CT Medical Group Inc. Past Accepting new patients

Locations

317 Foxon Rd
East Haven, CT 06513
Phone (203) 484-9333

525 Tunxis Hill Cut Off
Fairfield, CT 06825
Phone (203) 557-8200

521 Boston Post Rd
Orange, CT 06477
Phone (203) 529-3271

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1851879191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 TUNXIS HILL CUT OFF",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068254447",
            "telephone_number": "203-870-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 TUNXIS HILL CUT OFF",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "06825",
            "telephone_number": "203-870-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNGER",
        "first_name": "BOGUSLAWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "7721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

Verify at the official NPI Registry.