Abigail Coromoto Cipriani Amador, M.D
Individual provider Active NPI Pediatrics Physician · South Windsor, CT
NPI 1962853143 · NPPES record last updated Oct 8, 2024
Key facts
- NPI
- 1962853143
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 62558 (CT)
- Practice address
- 2701 Tamarack Ave
South Windsor, CT 06074-5562 - Phone
- (860) 647-8282
- Fax
- (860) 647-8399
- NPI assigned
- Jun 28, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190808002217 | CT | Practitioner - Pediatric Medicine | 8325390990 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62558 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Health Centers, Inc. | Current | Accepting new patients | |
| First Choice Health Centers, Inc. | Current |
Accepting new patients | |
| First Choice Health Centers, Inc. | Current |
Accepting new patients | |
| Manchester Pediatric Associates LLC | Pediatrics | Past | Accepting new patients |
Locations
94 Connecticut Blvd
Hartford, CT 06108
Phone (860) 610-6191
Interoperability endpoints
- abigail.cipriani-amador.1@30283.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 62558 | CT | Yes |
Addresses
Primary practice location
2701 Tamarack Ave
South Windsor, CT 06074-5562
Mailing address
2701 Tamarack Ave
South Windsor, CT 06074-5562
Phone (860) 647-8282
Other practice location 1
231 Merrow Rd Ste 3915
Tolland, CT 06084-3915
Phone (860) 875-9856
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | acipriani@mpaforkids.com | Health Information Exchange (HIE) |
Other providers in South Windsor, CT
- Okechukwu C Chidiadi
- Dayna Chinsky
- Jack M. Chinsky
- Christa Madden MSW LCSW LLC
- Zozan Chweich
- Jayme Marie Clark
- Clearview Therapy, LLC.
- Climb Innovations LLC
- Climb Medical Group LLC
- Clinical Connections, LLC
All providers in South Windsor, CT · Pediatrics Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.