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COLCHESTER FAMILY MEDICINE LLC
NPI 1952596579
Clinic/Center - Primary Care in Colchester, CT

Active since September 06, 2007
123 BROADWAY ST, COLCHESTER, CT 06415(860) 537-3204(860) 537-3208 Get Directions Write a Review

NPPES record last updated: August 19, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Colchester Family Medicine Llc NPPES

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

COLCHESTER FAMILY MEDICINE LLC (NPI 1952596579) is a healthcare organization registered as a primary care in Colchester, Connecticut and active in the NPI registry since September 2007. The organization lists Olawale Ayeni, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1952596579
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCOLCHESTER FAMILY MEDICINE LLC
Location Address123 BROADWAY STColchester, CT 06415-1022
Mailing Address123 Broadway St, P.o. Box 288Colchester, CT 06415-1022 · (860) 537-3204 · Fax (860) 537-3208
Phone(860) 537-3204
Fax(860) 537-3208
Organization SubpartNo
Authorized OfficialOlawale AyeniPhysician/owner · (860) 537-3204
Enumeration DateSeptember 6, 2007
Last NPPES UpdateAugust 19, 2008
✔ NPI 1952596579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed · 041093
123 BROADWAY ST, Colchester, CT 06415
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Other Identifiers 1

Medicare UPINH11409

Other Providers at the Same Location NPPES 3

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

OLAWALE AYENI MD
Family Medicine
123 BROADWAY ST
COLCHESTER, CT 06415
Southeastern Connecticut Planning Region (860) 537-3204
CAITLYN MILLS DPT
Physical Therapist
123 BROADWAY ST
COLCHESTER, CT 06415
Southeastern Connecticut Planning Region (774) 757-8981
PRIYA TANDON M.D. LLC
Clinic/Center (Medical Specialty)
123 BROADWAY ST
COLCHESTER, CT 06415
Southeastern Connecticut Planning Region (860) 537-2309

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 Colchester Family Medicine LLC's NPI number?

The NPI number for Colchester Family Medicine LLC is 1952596579. It was assigned to this organization in the NPPES registry on September 6, 2007.

Where is Colchester Family Medicine LLC located?

Colchester Family Medicine LLC is located at 123 Broadway St, Colchester, CT 06415. The listed phone number is (860) 537-3204.

What is Colchester Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Colchester Family Medicine LLC was last updated on August 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.