Active NPI
Abigail Coromoto Cipriani Amador, M.D
- Pediatrics Physician
- South Windsor, CT
National Provider Identifier
1962853143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 62558
- Practice address
- 2701 Tamarack Ave
South Windsor, CT 06074-5562 - Phone
- (860) 647-8282
- Fax
- (860) 647-8399
- NPI assigned
- Jun 28, 2016
- Last updated
- Oct 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 62558 | CT | Primary |
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 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | acipriani@mpaforkids.com | Health Information Exchange (HIE) |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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
- acipriani@mpaforkids.com
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- East Hartford, CT
- NPI 1215923131
-
- Federally Qualified Health Center (FQHC)
- East Hartford, CT
- NPI 1215518733
-
- Federally Qualified Health Center (FQHC)
- East Hartford, CT
- NPI 1699193292
-
- Pediatrics Physician
- South Windsor, CT
- NPI 1053612911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1962853143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 TAMARACK AVE",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060745562",
"telephone_number": "860-647-8282",
"fax_number": "860-647-8399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 TAMARACK AVE",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060745562",
"telephone_number": "860-647-8282",
"fax_number": "860-647-8399"
}
],
"practiceLocations": [
{
"address_1": "231 Merrow Rd Ste 3915",
"address_purpose": "LOCATION",
"city": "Tolland",
"state": "CT",
"postal_code": "060843915",
"country_code": "US",
"telephone_number": "860-875-9856",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CIPRIANI AMADOR",
"first_name": "ABIGAIL",
"middle_name": "COROMOTO",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-28",
"last_updated": "2024-10-08",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "62558",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "acipriani@mpaforkids.com",
"affiliation": "N",
"endpointDescription": "work email address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2701 Tamarack Ave",
"city": "South Windsor",
"state": "CT",
"country_code": "US",
"postal_code": "060745562",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in South Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.