NPIMap

Organization Active NPI

University of Connecticut Health Center

Doing business as University Physicians

  • Durable Medical Equipment & Medical Supplies
  • Farmington, CT
National Provider Identifier
1104809375
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
032452 Issued in CT
Legal business name
UNIVERSITY OF CONNECTICUT HEALTH CENTER
Doing business as
University Physicians
Practice address
263 Farmington Ave
University Physicians
Farmington, CT 06030-0001
Phone
(860) 679-7503
Fax
(860) 679-1610
NPI assigned
Nov 22, 2005
Last updated
Feb 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Authorized official

Name
Denis C Lafreniere, MDNPI 1699771691
Title
Medical Director
Phone
(860) 679-7503

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 032452 CT Primary

Addresses

Primary practice location

263 Farmington Ave
University Physicians
Farmington, CT 06030-0001

Mailing address

263 Farmington Avenue
Farmington, CT 06030-8082
Phone (860) 679-3692

Other names 1

  • University Physicians Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101005001068 CT DME Supplier - Multi-Specialty - Physician 3678472016 Practice locations: Farmington, CT

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
School of Medicine28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Locations

117 Albany Tpke
Canton, CT 06019
Phone (860) 658-3444

11 South Rd
Farmington, CT 06032
Phone 571568900365171

5 Munson Rd
Farmington, CT 06032
Phone (860) 679-4888

415 Killingworth Rd
Higganum, CT 06441
Phone (860) 345-4538

836 Hopmeadow St
Simsbury, CT 06070
Phone (860) 651-3519

1131 West St
Southington, CT 06489
Phone (860) 276-6800

381 Hopmeadow St
Weatogue, CT 06089
Phone (860) 651-1669

65 Kane St
West Hartfrd, CT 06119
Phone (860) 523-6421

Practitioners & affiliated clinicians

Practitioners 833

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.

View all 833

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1104809375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVENUE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060308082",
            "telephone_number": "860-679-3692",
            "fax_number": "860-676-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "UNIVERSITY PHYSICIANS",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060300001",
            "telephone_number": "860-679-7503",
            "fax_number": "860-679-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CONNECTICUT HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "LAFRENIERE",
        "authorized_official_first_name": "DENIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "860-679-7503",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "032452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.