Organization Active NPI

Associated Medical Inc

Doing business as Nikkora

  • Durable Medical Equipment & Medical Supplies
  • Hartford, CT
National Provider Identifier
1891187399
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ASSOCIATED MEDICAL INC
Doing business as
Nikkora
Practice address
85 Retreat Ave Ste 1
Cancer Center Boutique Hartford Hospital
Hartford, CT 06106-2555
Phone
(203) 204-2874
Fax
(860) 865-0350
NPI assigned
Feb 20, 2015
Last updated
Jul 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Authorized official

Name
Mr. Marcus K Simpson
Title
President
Phone
(203) 204-2874

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

85 Retreat Ave Ste 1
Cancer Center Boutique Hartford Hospital
Hartford, CT 06106-2555

Mailing address

21 Business Park Dr
Branford, CT 06405-2935
Phone (203) 204-2874

Other names 1

  • Nikkora Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Associated Medical Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

85 Retreat Ave
Ste 1
Hartford, CT 06106
Phone (203) 204-2874

NPI Registry JSON

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1891187399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BUSINESS PARK DR",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052935",
            "telephone_number": "203-204-2874",
            "fax_number": "860-865-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 RETREAT AVE STE 1",
            "address_2": "CANCER CENTER BOUTIQUE HARTFORD HOSPITAL",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062555",
            "telephone_number": "203-204-2874",
            "fax_number": "860-865-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-204-2874",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nikkora",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.