Active NPI
Susan Marie Marchinetti Jr.
- Dental Hygienist
- East Hartford, CT
National Provider Identifier
1376720995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 007199
- Practice address
- 94 Connecticut Blvd
East Hartford, CT 06108-3013 - Phone
- (860) 528-1359
- NPI assigned
- Jan 25, 2008
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 007199 | CT | Primary |
Addresses
Primary practice location
94 Connecticut Blvd
East Hartford, CT 06108-3013
Mailing address
94 Connecticut Blvd
East Hartford, CT 06108-3013
Phone (860) 528-1359
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 |
|---|---|---|---|
| 007199 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201219200000",
"number": "1376720995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 CONNECTICUT BLVD",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061083013",
"telephone_number": "860-528-1359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 CONNECTICUT BLVD",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061083013",
"telephone_number": "860-528-1359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCHINETTI",
"first_name": "SUSAN",
"middle_name": "MARIE",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-25",
"last_updated": "2008-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CT",
"license": "007199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.