1. Home
  2. Directory
  3. Connecticut
  4. Avon
  5. Nurse Practitioner
  6. NPI Profile

COMPREHENSIVE MEDICAL GROUP, LLC
NPI 1093014748
Nurse Practitioner - Family in Avon, CT

Active since March 21, 2011CLIA 07D2041080 · Waiver
40 DALE RD, SUITE 103, AVON, CT 06001(860) 673-3737(860) 675-0640 Get Directions Write a Review

NPPES record last updated: November 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Comprehensive Medical Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMPREHENSIVE MEDICAL GROUP, LLC (NPI 1093014748) is a healthcare organization registered as a family in Avon, Connecticut and active in the NPI registry since March 2011. The organization holds a CLIA Waiver certificate valid through April 30, 2028 and lists Mary E. Amato, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1093014748
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCOMPREHENSIVE MEDICAL GROUP, LLC
Location Address40 DALE RD, SUITE 103Avon, CT 06001-3692
Mailing Address40 Dale Rd, Suite 103Avon, CT 06001-3692 · (860) 673-3737 · Fax (860) 675-0640
Phone(860) 673-3737
Fax(860) 675-0640
Organization SubpartNo
Authorized OfficialMary E. AmatoPractice Manager · (860) 673-3737
Enumeration DateMarch 21, 2011
Last NPPES UpdateNovember 15, 2011
✔ NPI 1093014748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 002626
40 DALE RD, Avon, CT 06001
Open in Google Maps ↗

Other Identifiers 2

Other1942352794CT · Dr. Lalrukh Mufti Npi
Other1669496113CT · Mary Leahy, Aprn Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2041080

Comprehensive Medical Group · Avon, CT
Active · expires Apr 30, 2028
CLIA Number07D2041080
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorLalarukh Mufti MD
Laboratory Phone(860) 673-3737
Laboratory LocationComprehensive Medical Group40 Dale Road Ste 103, Avon, CT 06001
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NAOMI J NEUWIRTH LCSW
Social Worker (Clinical)
40 DALE RD, SUITE 201
AVON, CT 06001
Capitol Planning Region (860) 676-9350
KRISTIE L RILEY LPC, LMHC
Counselor (Professional)
40 DALE RD
AVON, CT 06001
Capitol Planning Region (860) 253-5020
YOLANDA M PENA MD
Psychiatry & Neurology (Neurology)
40 DALE RD, STE 104
AVON, CT 06001
Capitol Planning Region (860) 676-8115
KOMAROW DENTAL PC
Clinic/Center
40 DALE RD
AVON, CT 06001
Capitol Planning Region (860) 677-2171
LALARUKH MUFTI M.D.
Internal Medicine
40 DALE RD, SUITE 103
AVON, CT 06001
Capitol Planning Region (860) 673-3737

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Comprehensive Medical Group, LLC's NPI number?

The NPI number for Comprehensive Medical Group, LLC is 1093014748. It was assigned to this organization in the NPPES registry on March 21, 2011.

Where is Comprehensive Medical Group, LLC located?

Comprehensive Medical Group, LLC is located at 40 Dale Rd Suite 103, Avon, CT 06001. The listed phone number is (860) 673-3737.

What is Comprehensive Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Comprehensive Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2041080) is associated with this NPI, valid through April 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Comprehensive Medical Group, LLC was last updated on November 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.