NPIMap

Organization Active NPI

Hartford Clinical Associates, PC

Doing business as Hartford Specialists

  • Durable Medical Equipment & Medical Supplies
  • Enfield, CT
National Provider Identifier
1407136484
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HARTFORD CLINICAL ASSOCIATES, PC
Doing business as
Hartford Specialists
Practice address
100 Hazard Ave
Suite 206
Enfield, CT 06082-5446
Phone
(860) 947-8500
Fax
(860) 524-8643
NPI assigned
Aug 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
John L Fundock
Title
Vice President
Phone
(860) 545-7188

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

100 Hazard Ave
Suite 206
Enfield, CT 06082-5446

Mailing address

17 Talcott Notch Rd
Farmington, CT 06032-1818
Phone (860) 524-2626

Other names 1

  • Hartford Specialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hartford Clinical Associates PC4 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.

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1407136484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 TALCOTT NOTCH RD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321818",
            "telephone_number": "860-524-2626",
            "fax_number": "860-677-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HAZARD AVE",
            "address_2": "SUITE 206",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060825446",
            "telephone_number": "860-947-8500",
            "fax_number": "860-524-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD CLINICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "FUNDOCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "860-545-7188"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hartford Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.