Active NPI
Preferred Healthcare Associates Inc
- Primary Care Nurse Practitioner
- Stafford Springs, CT
National Provider Identifier
1891458352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- PREFERRED HEALTHCARE ASSOCIATES INC
- Practice address
- 7 Magauran Dr Ste 3
Stafford Springs, CT 06076-4040 - Phone
- (860) 684-5438
- NPI assigned
- Oct 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Domenick Bianchi, APRN
- Title
- Owner
- Phone
- (860) 684-5438
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
7 Magauran Dr Ste 3
Stafford Springs, CT 06076-4040
Mailing address
7 Magauran Dr Ste 3
Stafford Springs, CT 06076-4040
Phone (413) 455-6638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220110000341 | CT | Part B Supplier - Clinic/Group Practice | 9335531052 |
Receives reassigned benefits from 3 practitioners Practice locations: Stafford Springs, CT |
National Provider Directory
National Provider DirectoryLocations
7 Magauran Dr
Ste 3
Stafford Springs, CT 06076
Phone (413) 455-6638
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Stafford Springs, CT
- NPI 1851369193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714003200000",
"number": "1891458352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 MAGAURAN DR STE 3",
"city": "STAFFORD SPRINGS",
"state": "CT",
"postal_code": "060764040",
"telephone_number": "413-455-6638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 MAGAURAN DR STE 3",
"city": "STAFFORD SPRINGS",
"state": "CT",
"postal_code": "060764040",
"telephone_number": "860-684-5438"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREFERRED HEALTHCARE ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-20",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A",
"authorized_official_last_name": "BIANCHI",
"authorized_official_first_name": "DOMENICK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "860-684-5438",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stafford Springs, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.