Individual provider Active NPI

Nauman Jameel Mufti, MD, MPH

  • Public Health & General Preventive Medicine Physician
  • Farmington, CT
National Provider Identifier
1881836559
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
039306 Issued in CT
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, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110718000026 CT Practitioner - General Practice 2466620547

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
039309CTMDObesity Medicine (Preventive Medicine) Physician
039306CTMDOccupational 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

Verify at the official NPI Registry.