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FARMINGTON VALLEY DIRECT PRIMARY CARE
NPI 1679379747
Family Medicine in Avon, CT

Active since February 20, 2025CLIA 07D2317700 · Waiver
30 WEST AVON ROAD, AVON, CT 06001(860) 269-3002(860) 255-4002 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Farmington Valley Direct Primary Care NPPES

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

FARMINGTON VALLEY DIRECT PRIMARY CARE (NPI 1679379747) is a healthcare organization registered as a family medicine in Avon, Connecticut and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through January 29, 2027 and lists Judy Chiu, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1679379747
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFARMINGTON VALLEY DIRECT PRIMARY CARE
Location Address30 WEST AVON ROADAvon, CT 06001
Mailing Address47 Perry DriveBurlington, CT 06013 · (201) 388-0574
Phone(860) 269-3002
Fax(860) 255-4002
Organization SubpartNo
Authorized OfficialJudy ChiuManaging Member · (201) 388-0574
Enumeration DateFebruary 20, 2025
✔ NPI 1679379747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
30 WEST AVON ROAD, Avon, CT 06001
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 07D2317700

Farmington Valley Direct Primary Care · Canton, CT
Active · expires Jan 29, 2027
CLIA Number07D2317700
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorJudy Chiu
Laboratory Phone(860) 269-3002
Laboratory LocationFarmington Valley Direct Primary Care50 Albany Tpke, Building 2, Canton, CT 06019
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

ANJA SUMMERS PANETTA PA
Physician Assistant (Surgical)
30 WEST AVON ROAD, SUITE E
AVON, CT 06001
Capitol Planning Region (860) 674-9900
DR. SADAF WAQAR D.O.
Dermatology
30 WEST AVON ROAD, SUITE E
AVON, CT 06001
Capitol Planning Region (860) 674-9900
DAWN MARIE MASSEY NP-BC
Nurse Practitioner
30 WEST AVON ROAD
AVON, CT 06001
Capitol Planning Region (860) 673-2581
LISA SHEEHAN PA-C
Physician Assistant
30 WEST AVON ROAD, SUITE E
AVON, CT 06001
Capitol Planning Region (860) 674-9900

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 Farmington Valley Direct Primary Care's NPI number?

The NPI number for Farmington Valley Direct Primary Care is 1679379747. It was assigned to this organization in the NPPES registry on February 20, 2025.

Where is Farmington Valley Direct Primary Care located?

Farmington Valley Direct Primary Care is located at 30 West Avon Road, Avon, CT 06001. The listed phone number is (860) 269-3002.

What is Farmington Valley Direct Primary Care's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Farmington Valley Direct Primary Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2317700) is associated with this NPI, valid through January 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Farmington Valley Direct Primary Care was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.