Active NPI
Nauman Jameel Mufti, MD, MPH
- Public Health & General Preventive Medicine Physician
- Farmington, CT
National Provider Identifier
1881836559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 039306
- Practice address
- 2 Bridgewater Rd
Suite 100
Farmington, CT 06032-2269 - Phone
- (860) 678-9900
- Fax
- (860) 678-9901
- NPI assigned
- Mar 27, 2009
- Last updated
- Mar 10, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 039306 | CT | |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 039306 | CT | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 039306 | CT | Primary |
| Occupational Medicine Physician | 2083X0100X | 039306 | CT | |
| General Practice Physician | 208D00000X | 039306 | CT | |
| Independent Medical Examiner Physician | 202C00000X | 039306 | CT | |
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | 039309 | CT |
Addresses
Primary practice location
2 Bridgewater Rd
Suite 100
Farmington, CT 06032-2269
Mailing address
2 Bridgewater Rd
Suite 100
Farmington, CT 06032-2269
Phone (860) 678-9900
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110718000026 | CT | Practitioner - General Practice | 2466620547 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039309 | CT | MD | Obesity Medicine (Preventive Medicine) Physician |
| 039306 | CT | MD | Occupational Medicine Physician |
Organizations & group practices 1
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": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489104000000",
"number": "1881836559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 BRIDGEWATER RD",
"address_2": "SUITE 100",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060322269",
"telephone_number": "860-678-9900",
"fax_number": "860-678-9901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 BRIDGEWATER RD",
"address_2": "SUITE 100",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060322269",
"telephone_number": "860-678-9900",
"fax_number": "860-678-9901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUFTI",
"first_name": "NAUMAN",
"middle_name": "JAMEEL",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-27",
"last_updated": "2017-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "CT",
"license": "039306",
"primary": false
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "CT",
"license": "039306",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "CT",
"license": "039306",
"primary": true
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "CT",
"license": "039306",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CT",
"license": "039306",
"primary": false
},
{
"code": "202C00000X",
"taxonomy_group": "",
"desc": "Independent Medical Examiner",
"state": "CT",
"license": "039306",
"primary": false
},
{
"code": "2083B0002X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Obesity Medicine",
"state": "CT",
"license": "039309",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.