Provider Demographics
NPI:1518224815
Name:APT FOUNDATION, INC.
Entity Type:Organization
Organization Name:APT FOUNDATION, INC.
Other - Org Name:PRIMARY CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MS
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
Mailing Address - Street 2:SUITE 321-B
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 1:54 E RAMSDELL ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06515-1140
Practice Address - Country:US
Practice Address - Phone:203-337-9943
Practice Address - Fax:203-821-3043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-12
Last Update Date:2019-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001218107OtherSCHOTTENFELD MEDICAID
CT001302497OtherSHI MEDICAID
CT008003745OtherDESROSIERS MEDICAID
CT008058058OtherSADINSKY MEDICAID
CT008039745OtherPCS BRIDGEPORT MEDICAID
CT008053091OtherBUTNER MEDICAID
CT008069118OtherCAMPBELL MEDICAID #
CT008066293OtherMARDAM BEY MEDICAID
CT008066315OtherCOLON RIVERA MEDICAID
CT001423135OtherTETRAULT MEDICAID
CT008066801OtherHAQUE MEDICAID
CT008066948OtherLOUIE MEDICAID
CT008068420OtherSCHEFILITI MEDICAID
CTD400172220Medicare PIN
CTD400346532Medicare PIN
CTD400081097Medicare PIN
CTD400318773Medicare PIN
CTD400315836Medicare PIN
CTD400316058Medicare PIN
CT110004627Medicare PIN
CT008066801OtherHAQUE MEDICAID
CT008068420OtherSCHEFILITI MEDICAID
CT001302497OtherSHI MEDICAID
CT008069118OtherCAMPBELL MEDICAID #
CT008003745OtherDESROSIERS MEDICAID
CTD400278647Medicare PIN
CT008069118OtherCAMPBELL MEDICAID #
CTD400172220OtherBUTNER MEDICARE
CT400016991OtherMEDICARE
CT008039745Medicaid
CT008045321Medicaid
CT1272286Medicaid