Provider Demographics
NPI:1396149597
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:MS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
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 1:352 STATE ST
Practice Address - Street 2:
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473-3108
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:2014-10-16
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0737261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008003745OtherMEDICAID EMILY APRN
CT008066315OtherCOLON RIVERA MEDICAID
CT001302497OtherMEDICAID SHI
CT008066801OtherHAQUE MEDICAID
CT001218107OtherSCHOTTENFELD MEDICAID
CT001423136OtherMEDICAID TETRAULT
CT008058058OtherSADINSKY MEDICAID
CT008069118OtherCAMPBELL MEDICAID #
CT008066293OtherMARDAM BEY MEDICAID
CT008068420OtherSCHEFILITI MEDICAID
CT008066948OtherLOUIE MEDICAID
CT008053091OtherMEDICAID BUTNER #
CT001302497OtherMEDICAID SHI
CT008069118OtherCAMPBELL MEDICAID #
CT008068420OtherSCHEFILITI MEDICAID
CTD400318431Medicare PIN
CT001218107OtherSCHOTTENFELD MEDICAID
CT008066801OtherHAQUE MEDICAID
CTD400318461Medicare PIN
CTD400278647Medicare PIN
CT008066315OtherCOLON RIVERA MEDICAID
CT008053091OtherMEDICAID BUTNER #
CT110004627Medicare PIN
CTD400316058Medicare PIN
CTD400172220Medicare PIN
CT008066315OtherCOLON RIVERA MEDICAID
CT008053091OtherMEDICAID BUTNER #