NPIMap

Organization Active NPI

New England Food Allergy Treatment Center

  • Allergy Physician
  • West Hartford, CT
National Provider Identifier
1447597315
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
031434 Issued in CT
Legal business name
NEW ENGLAND FOOD ALLERGY TREATMENT CENTER
Practice address
836 Farmington Ave
Suite 138
West Hartford, CT 06119-1505
Phone
(860) 986-6099
Fax
(860) 761-2674
NPI assigned
Jan 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Authorized official

Name
Dr. Jeffrey Martin Factor, MD
Title
Medical Director
Phone
(860) 916-0273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X 031434 CT Primary

Addresses

Primary practice location

836 Farmington Ave
Suite 138
West Hartford, CT 06119-1505

Mailing address

836 Farmington Ave
Suite 138
West Hartford, CT 06119-1505
Phone (860) 986-6099

National Provider Directory

National Provider Directory

Locations

836 Farmington Ave
Ste 138
West Hartford, CT 06119
Phone (860) 986-6099

NPI Registry JSON

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1447597315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 FARMINGTON AVE",
            "address_2": "SUITE 138",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191505",
            "telephone_number": "860-986-6099",
            "fax_number": "860-761-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 FARMINGTON AVE",
            "address_2": "SUITE 138",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191505",
            "telephone_number": "860-986-6099",
            "fax_number": "860-761-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND FOOD ALLERGY TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-11",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "FACTOR",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "860-916-0273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CT",
            "license": "031434",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 11, 2013; 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.