Organization Active NPI

Cosmetic Laser Center of Rocky Hill

  • Primary Care Clinic/Center
  • Rocky Hill, CT
National Provider Identifier
1477606218
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
COSMETIC LASER CENTER OF ROCKY HILL
Practice address
1880 Silas Deane Hwy
Suite 205
Rocky Hill, CT 06067-1344
Phone
(860) 257-9700
Fax
(203) 413-4412
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jitesh Vachhani, MDNPI 1205815487
Title
Owner
Phone
(860) 257-9700

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1880 Silas Deane Hwy
Suite 205
Rocky Hill, CT 06067-1344

Mailing address

1880 Silas Deane Hwy
Suite 205
Rocky Hill, CT 06067-1344
Phone (860) 257-9700

National Provider Directory

National Provider Directory

Locations

1880 Silas Deane Hwy
Ste 205
Rocky Hill, CT 06067
Phone (860) 257-9700

Practitioners & affiliated clinicians

Practitioners 1

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477606218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 SILAS DEANE HWY",
            "address_2": "SUITE 205",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671344",
            "telephone_number": "860-257-9700",
            "fax_number": "203-413-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 SILAS DEANE HWY",
            "address_2": "SUITE 205",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671344",
            "telephone_number": "860-257-9700",
            "fax_number": "203-413-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC LASER CENTER OF ROCKY HILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VACHHANI",
        "authorized_official_first_name": "JITESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-257-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.