Provider Demographics
NPI:1487062873
Name:APT FOUNDATION, INC
Entity type:Organization
Organization Name:APT FOUNDATION, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:203-781-4600
Mailing Address - Street 1:1 LONG WHARF DR STE 321
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-5991
Mailing Address - Country:US
Mailing Address - Phone:203-781-4600
Mailing Address - Fax:203-781-4624
Practice Address - Street 1:495 CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1312
Practice Address - Country:US
Practice Address - Phone:203-781-4600
Practice Address - Fax:203-781-4624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-29
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0366261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008066801OtherHAQUE MEDICAID
CT008003745OtherMEDICAID EMILY APRN
CT008058058OtherSADINSKY MEDICAID
CT001218107OtherSCHOTTENFELD MEDICAID
CT001302497OtherMEDICAID SHI
CT001423136OtherMEDICAID TETRAULT
CT008068420OtherSCHEFILITI MEDICAID
CT008066293OtherMARDAM BEY MEDICAID
CT008066315OtherCOLON RIVERA MEDICAID
CT008066948OtherLOUIE MEDICAID
CT008053091OtherMEDICAID BUTNER
CT008069118OtherCAMPBELL MEDICAID #
CTD400172220Medicare PIN
CTD400081097Medicare PIN
CTD400315836Medicare PIN
CTD400344291Medicare PIN
CT008066948OtherLOUIE MEDICAID
CT008058058OtherSADINSKY MEDICAID
CTD400278702Medicare PIN
CTD400346532Medicare PIN
CT008003745OtherMEDICAID EMILY APRN
CTD400278647Medicare PIN
CT008066315OtherCOLON RIVERA MEDICAID
CTD400318773Medicare PIN
CTD400318773OtherCOLON RIVERA MEDICARE
CT008066315OtherCOLON RIVERA MEDICAID