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Trinity Health of New England Provider Network Organization Inc

Organization Active NPI Internal Medicine Physician · Hartford, CT

NPI 1003882812 · NPPES record last updated Feb 17, 2025

Key facts

NPI
1003882812
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC
Practice address
114 Woodland St
Saint Francis Medical Group Inc.
Hartford, CT 06105-1208
Phone
(860) 714-1325
Fax
(860) 714-8078
NPI assigned
Feb 23, 2006
Organization subpart
Yes
Parent organization (as reported)
TRINITY HEALTH OF NEW ENGLAND CORPORATION INC

Authorized official

Name
James Harris
Title
Regional Director of Reimbursement
Phone
(860) 714-4396

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners 1,623

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 1,623

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D1013421Trinity Health of New England Provider Network
114 Woodland St BLDG 1-2, Hartford, CT 06105		Provider-performed microscopyJun 9, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031110000651 CT Part B Supplier - Clinic/Group Practice 0941113567 Receives reassigned benefits from 1,426 practitioners

National Provider Directory

Locations (25 of 90)

35 Nod Rd
Ste 203
Avon, CT 06001
Phone (860) 409-1540

580 Cottage Grove Rd
Ste 205
Bloomfield, CT 06002
Phone (860) 286-2996

580 Cottage Grove Rd
Ste 207
Bloomfield, CT 06002
Phone (860) 242-8644

421 Cottage Grove Rd
Ste C
Bloomfield, CT 06002
Phone (860) 726-9295

421 Cottage Grove Rd
Ste B
Bloomfield, CT 06002
Phone (860) 242-0034

421 Cottage Grove Rd
Ste A
Bloomfield, CT 06002
Phone (860) 242-3933

893 Main St
East Hartford, CT 06108
Phone (860) 289-6021

151 Hazard Ave
Ste 9B
Enfield, CT 06082

140 Hazard Ave
Ste 105
Enfield, CT 06082
Phone (860) 272-2930

140 Hazard Ave
Ste 200
Enfield, CT 06082

47 Palomba Dr
Enfield, CT 06082
Phone (860) 253-5020

140 Hazard Ave
Ste 1026
Enfield, CT 06082

7 Elm St
Ste 204
Enfield, CT 06082
Phone (860) 741-2242

7 Elm St
Ste 307
Enfield, CT 06082
Phone (860) 253-7236

7 Elm St
Ste 7
Enfield, CT 06082

27 Sycamore St
Ste 400
Glastonbury, CT 06033
Phone (860) 633-0500

300 Hebron Ave
Ste 213
Glastonbury, CT 06033
Phone (860) 633-0500

31 Sycamore St
Ste 102
Glastonbury, CT 06033
Phone (860) 714-8424

31 Sycamore St
Ste 200
Glastonbury, CT 06033

27 Sycamore St
Ste 200
Glastonbury, CT 06033
Phone (860) 714-9906

300 Hebron Ave
Ste 21
Glastonbury, CT 06033

300 Hebron Ave
Ste 207
Glastonbury, CT 06033
Phone (860) 659-0585

1000 Asylum Ave
Fl 1
Hartford, CT 06105

19 Woodland St
Ste 4304
Hartford, CT 06105

1000 Asylum Ave
Ste 1025
Hartford, CT 06105
Phone (860) 714-5319

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X Yes
Cardiovascular Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RC0000X
Endocrinology, Diabetes & Metabolism Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RE0101X
Geriatric Medicine (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RG0300X
Hematology (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RH0000X
Hematology & Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RH0003X
Infectious Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RI0200X
Pulmonary Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RP1001X
Rheumatology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RR0500X
Medical Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RX0202X
Obstetrics & Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207V00000X
Maternal & Fetal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207VM0101X
Gynecologic Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207VX0201X
Physical Medicine & Rehabilitation Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208100000X
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363L00000X

Addresses

Primary practice location

114 Woodland St
Saint Francis Medical Group Inc.
Hartford, CT 06105-1208

Mailing address

1000 Asylum Ave Ste 4309a
Hartford, CT 06105-1704
Phone (860) 714-1325

Other identifiers

IdentifierTypeStateIssuer
004255221MedicaidCT
008040858MedicaidCT
004179059MedicaidCT
004255742MedicaidCT
008041399MedicaidCT
008060133MedicaidCT
004197621MedicaidCT
008049887MedicaidCT
008057685MedicaidCT
004179067MedicaidCT
004254504MedicaidCT
008026230MedicaidCT
008041385MedicaidCT
008041438MedicaidCT
004208957MedicaidCT
004217619MedicaidCT
008004638MedicaidCT
008035513MedicaidCT
004197689MedicaidCT
008026251MedicaidCT
008030966MedicaidCT
008041511MedicaidCT
008041543MedicaidCT
008049989MedicaidCT
008026223MedicaidCT
008040926MedicaidCT
008040940MedicaidCT
008050163MedicaidCT
004144474MedicaidCT
008059165MedicaidCT

Other names

  • Trinity Health Of New England Medical Group Doing business as

Other providers in Hartford, CT

All providers in Hartford, CT · Internal Medicine Physician in Connecticut

Sources for this page

Verify at the official NPI Registry.