NPIMap

Organization Active NPI

Eastern Connecticut Pathology Consultants, P.C.

  • Anatomic Pathology & Clinical Pathology Physician
  • Vernon, CT
National Provider Identifier
1346363215
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
EASTERN CONNECTICUT PATHOLOGY CONSULTANTS, P.C.
Practice address
31 Union St
Vernon, CT 06066-3126
Phone
(860) 872-5236
NPI assigned
Apr 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Dr. Dennis G O'Neill, M.D.NPI 1083679021
Title
President
Phone
(860) 647-6487

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
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

31 Union St
Vernon, CT 06066-3126

Mailing address

PO Box 206
New Haven, CT 06501-0206
Phone (203) 397-8000

Other identifiers 9

IdentifierTypeStateIssuer
04126521MedicaidCT
1104296OtherCTUNITED HC GRP#
A524580OtherCTOXFORD GRP#
OR4388OtherCTHEALTHNET GRP#
W1H29OtherCTEMPIRE BCBS GRP#
008172967OtherCTAETNA USHC GRP#
C009784OtherCTCHAMPUS TRICARE GRP#
500HBL161CT02OtherCTBCBS GROUP#
76164901OtherCTCTCARE GRP#

National Provider Directory

National Provider Directory
Tax ID family
Manchester Pathology Co4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1346363215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065010206",
            "telephone_number": "203-397-8000",
            "fax_number": "203-389-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 UNION ST",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060663126",
            "telephone_number": "860-872-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN CONNECTICUT PATHOLOGY CONSULTANTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-07",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-647-6487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04126521",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HC GRP#",
            "identifier": "1104296",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD GRP#",
            "identifier": "A524580",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET GRP#",
            "identifier": "OR4388",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS GRP#",
            "identifier": "W1H29",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHC GRP#",
            "identifier": "008172967",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS TRICARE GRP#",
            "identifier": "C009784",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP#",
            "identifier": "500HBL161CT02",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CTCARE GRP#",
            "identifier": "76164901",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.