Hartford Healthcare Medical Group, Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

HARTFORD HEALTHCARE MEDICAL GROUP, INC

Doing business as

Hartford HealthCare Medical Group

Practice address

1290 Silas Deane Hwy
Attn: Linda Straka
Wethersfield, CT 06109-4337

Phone

(860) 972-9033

Fax

(860) 972-7040

NPI assigned

Sep 27, 2012

Last updated

Jun 20, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rocco Orlando III, M.D.

Title

Director, Vice Chairman, Secretary

Phone

(860) 263-4155

Specialties & licenses 15

Addresses

Other names 1

• Hartford HealthCare Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CT, RI2 enrollments

Enrollment records 2

Locations (25 of 48)

Practitioners 1,043

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jill R Aboulian, PA-C

  • Physician Assistant
  • Cheshire, CT
  • NPI 1881615730
  Medicare reassignment Care Compare group NPD
• Alif Sattar Ahmed, MD

  • Family Medicine Physician
  • Storrs, CT
  • NPI 1255073144
  Medicare reassignment Care Compare group NPD
• Gemstonn Boniface Alegre, MD

  • Family Medicine Physician
  • Waterford, CT
  • NPI 1699355776
  Medicare reassignment Care Compare group NPD
• Anna-Maria Alvares, MS, APRN, FNP-C

  • Family Nurse Practitioner
  • West Hartford, CT
  • NPI 1164201760
  Medicare reassignment Care Compare group NPD
• Brittany Andreoli, DO

  • Family Medicine Physician
  • Prospect, CT
  • NPI 1841750346
  Medicare reassignment Care Compare group NPD
• Nency Antoine, DNP, FNP

  • Family Nurse Practitioner
  • Bloomfield, CT
  • NPI 1457041097
  Medicare reassignment Care Compare group NPD
• Michelle Apiado, MD

  • Family Medicine Physician
  • Litchfield, CT
  • NPI 1255403473
  Medicare reassignment Care Compare group NPD
• Letterio Asciuto, MD

  • Internal Medicine Physician
  • Southington, CT
  • NPI 1003824939
  Medicare reassignment Care Compare group NPD
• Rhoda Asimeng, DO, MS

  • Family Medicine Physician
  • Old Lyme, CT
  • NPI 1033679295
  Medicare reassignment Care Compare group NPD
• Jennifer Roch Avedisian

  • Family Nurse Practitioner
  • Pawcatuck, CT
  • NPI 1245478999
  Medicare reassignment Care Compare group NPD
• Natasha Bajwa, M.D.

  • Family Medicine Physician
  • South Windsor, CT
  • NPI 1396199527
  Medicare reassignment Care Compare group NPD
• Arjun Banerjee, MD

  • Family Medicine Physician
  • Glastonbury, CT
  • NPI 1629021183
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1043561301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY",
            "address_2": "ATTN: LINDA STRAKA",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337",
            "telephone_number": "860-972-9033",
            "fax_number": "860-972-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY",
            "address_2": "ATTN: LINDA STRAKA",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337",
            "telephone_number": "860-972-9033",
            "fax_number": "860-972-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD HEALTHCARE MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "ORLANDO",
        "authorized_official_first_name": "ROCCO",
        "authorized_official_title_or_position": "DIRECTOR, VICE CHAIRMAN, SECRETARY",
        "authorized_official_telephone_number": "860-263-4155",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": null,
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hartford HealthCare Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hartford Healthcare at Home, Inc
• Hartford Healthcare at Home, Inc
• Hartford Healthcare Independence at Home
• Hartford Healthcare Medical Group Specialists, LLC
• Hartford Healthcare Medical Group, Inc
• Hartford Healthcare Medical Group, Inc
• Kevin Harward, LCSW
• Iffat Javed Hashmi
• Headspace LLC

• Surgery Physician in Wethersfield, CT
• Providers in Wethersfield, CT by specialty
• Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.