Active NPI
Allyson N Duffy, MD
- Pediatric Adolescent Medicine Physician
- West Hartford, CT
National Provider Identifier
1154399202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 038674
- Practice address
- 345 North Main St
Ste 248
West Hartford, CT 06117 - Phone
- (860) 231-8453
- Fax
- (860) 523-4061
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 038674 | CT | Primary |
Addresses
Primary practice location
345 North Main St
Ste 248
West Hartford, CT 06117
Mailing address
345 North Main St
Ste 248
West Hartford, CT 06117
Phone (860) 231-8453
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004058400 | Medicaid | CT | |
| 010038674CT02 | Other | CT | ANTHEM BCBS |
| 038674 | Other | CT | CONNECTECARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038674 | CT | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pedicorp, PC | Adolescent Medicine | Past | Accepting new patients |
Interoperability endpoints
- allyson.duffy@pedicorp.eclinicaldirectplus.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Adolescent Medicine Physician
- West Hartford, CT
- NPI 1952581928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516924800000",
"number": "1154399202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 NORTH MAIN ST",
"address_2": "STE 248",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "06117",
"telephone_number": "860-231-8453",
"fax_number": "860-523-4061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 NORTH MAIN ST",
"address_2": "STE 248",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "06117",
"telephone_number": "860-231-8453",
"fax_number": "860-523-4061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFFY",
"first_name": "ALLYSON",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2018-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "CT",
"license": "038674",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004058400",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "010038674CT02",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTECARE",
"identifier": "038674",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.