NPI Code Detail JSON Logo

1609789148 NPI number — APT FOUNDATION INC

NPI Number: 1609789148
Health Care Provider/Practitioner: APT FOUNDATION INC

Information about “1609789148” NPI (APT FOUNDATION INC) exists in 1609789148 in HTML format HTML  |  1609789148 in plain Text format TXT  |  1609789148 in PDF (Portable Document Format) PDF  |  1609789148 in an XML format XML  formats.

NPI Number : 1609789148 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609789148",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "APT FOUNDATION INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1 LONG WHARF DR STE 321",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW HAVEN",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06511-5946",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-781-4600",
    "MailingAddressFaxNumber": "203-781-4624",
    "FirstLinePracticeLocationAddress": "245 WHALLEY AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW HAVEN",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06511-3254",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-781-4600",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/25/2026",
    "LastUpdateDate": "09/25/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BONILLA",
    "AuthorizedOfficialFirstName": "MINERVA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CREDENTIALING COORDINATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "203-781-4600",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM2800X",
        "TaxonomyName": "Methadone Clinic",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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