Individual provider Active NPI

Abigail Coromoto Cipriani Amador, M.D

  • Pediatrics Physician
  • South Windsor, CT
National Provider Identifier
1962853143
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
62558 Issued in CT
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190808002217 CT Practitioner - Pediatric Medicine 8325390990 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62558CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Health Centers, Inc. CurrentSince Aug 19, 2019 Accepting new patients
First Choice Health Centers, Inc. Current Accepting new patients
First Choice Health Centers, Inc. CurrentSince Aug 19, 2019 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

  • Direct secure messaging: abigail.cipriani-amador.1@30283.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.