Affirmative Health and Wellness LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

AFFIRMATIVE HEALTH AND WELLNESS LLC

Practice address

130 W Main St
Plainville, CT 06062-1945

Phone

(860) 502-9563

Fax

(860) 855-6360

NPI assigned

Oct 18, 2021

Last updated

Oct 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jurg W. J. Oggenfuss, APRNNPI 1144452442

Title

Medical Director

Phone

(414) 614-5832

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jurg W.J. Oggenfuss, APRN

  • Family Nurse Practitioner
  • West Haven, CT
  • NPI 1144452442
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1982367975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W MAIN ST",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060621945",
            "telephone_number": "860-502-9563",
            "fax_number": "860-855-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W MAIN ST",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060621945",
            "telephone_number": "860-502-9563",
            "fax_number": "860-855-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFIRMATIVE HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "OGGENFUSS",
        "authorized_official_first_name": "JURG",
        "authorized_official_middle_name": "W. J.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "414-614-5832",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pilar M Acosta
• Tamara Acosta, BSW
• Titilayo Adekola
• Canei Daniell Adger
• Gail B. Adler, LCSW
• Dieudonnee Agbemabiese Kokoszka, MS
• Rosemary J. Aiello
• Lindsey Albert
• Michael Carl Albert, RDH
• Ashley Albright

• Primary Care Clinic/Center in Plainville, CT
• Providers in Plainville, CT by specialty
• Primary Care Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.

Verify at the official NPI Registry.