NPIMap

Organization Active NPI

Grovehill Medical Center, PC

  • Radiology Clinic/Center
  • New Britain, CT
National Provider Identifier
1477715548
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
05603-01 Issued in CT
Legal business name
GROVEHILL MEDICAL CENTER, PC
Practice address
300 Kensington Ave
New Britain, CT 06051-3916
Phone
(860) 224-6222
Fax
(860) 224-0766
NPI assigned
Jun 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Earle Sittambalam, MD
Title
President
Phone
(860) 224-6231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 05603-01 CT Primary

Addresses

Primary practice location

300 Kensington Ave
New Britain, CT 06051-3916

Mailing address

300 Kensington Ave
New Britain, CT 06051-3916
Phone (860) 224-6231

Other identifiers 1

IdentifierTypeStateIssuer
15MRI0155CT01OtherCTBCBS

National Provider Directory

National Provider Directory
Tax ID family
Grove Hill Medical Center 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.

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": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1477715548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 KENSINGTON AVE",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060513916",
            "telephone_number": "860-224-6231",
            "fax_number": "860-224-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 KENSINGTON AVE",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060513916",
            "telephone_number": "860-224-6222",
            "fax_number": "860-224-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVEHILL MEDICAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "SITTAMBALAM",
        "authorized_official_first_name": "EARLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-224-6231",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CT",
            "license": "05603-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "15MRI0155CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.

Verify at the official NPI Registry.