Active NPI
Jeffrey Joseph Conlon, ATC, CSCS
- Athletic Trainer
- Hartford, CT
National Provider Identifier
1346465085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 000288
- Practice address
- 180 Bloomfield Ave.
Hartford, CT 06105-1096 - Phone
- (860) 236-5618
- Fax
- (860) 233-8295
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 000288 | CT | Primary |
Addresses
Primary practice location
180 Bloomfield Ave.
Hartford, CT 06105-1096
Mailing address
40 Fernwood Dr
Simsbury, CT 06070-2918
Phone (860) 236-5618
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000288 | CT | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346465085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 FERNWOOD DR",
"city": "SIMSBURY",
"state": "CT",
"postal_code": "060702918",
"telephone_number": "860-236-5618",
"fax_number": "860-233-8295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 BLOOMFIELD AVE.",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051096",
"telephone_number": "860-236-5618",
"fax_number": "860-233-8295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLON",
"first_name": "JEFFREY",
"middle_name": "JOSEPH",
"credential": "ATC, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CT",
"license": "000288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartford, CT
- Concrete Home Healthcare Solutions LLC
- Pamela J. Condon, PA-C
- Melissa Meghan Condren, MSN, RN, CPNP
- Allison Leigh Conklin
- Ashley Conley, MD, MS
- Connecticut Behavioral Services LLC
- Connecticut Cardiothoracic Surgical Associates LLC
- Connecticut Caring Companions
- Connecticut Children's Medical Center
- Connecticut Children's Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.